Individual
SCOTT MICHAEL LISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2002 ROCK WAY, HOLLAND, PA 18966-2877
(215) 944-1185
Mailing address
3049 KNORR ST, PHILADELPHIA, PA 19149-2506
(215) 333-2072
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003662
PA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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