Individual
LISA ANNE CHILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
830 BOYLSTON ST, CHESTNUT HILL, MA 02467-2503
(617) 754-5069
Mailing address
87 SOHIER ST, COHASSET, MA 02025-1311
(781) 383-3546
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4956
MA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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