Individual
MARISSA LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1274 CONGRESS ST FL 3, PORTLAND, ME 04102-2111
(207) 888-0900
Mailing address
1274 CONGRESS ST FL 3, PORTLAND, ME 04102-2111
(207) 888-0900
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
PT5505
ME
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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