Individual
TIMOTHY LISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, MS
Contact information
Practice address
70 BUTLER ST, SALEM, NH 03079-3925
(603) 898-2900
Mailing address
70 BUTLER ST, SALEM, NH 03079-3925
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3539
NH
Other
Enumeration date
12/03/2015
Last updated
11/29/2021
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