Individual
MRS. LISA JOSUPAIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
7 RALPH JUDD COURT, AURORA, IL 60506
(630) 466-2083
Mailing address
1377 MOTOR PKWY, STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
(631) 580-5222
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
070012467
IL
Other
Enumeration date
03/30/2007
Last updated
10/01/2019
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