Individual
LISA MARIE PHILIPPON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
3514 EVERGREEN DR, WOOSTER, OH 44691-9062
(330) 749-5323
Mailing address
3514 EVERGREEN DR, WOOSTER, OH 44691-9062
(330) 749-5323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016795
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT016795
OHIO STATE PHYSICAL THERAPY LICENSE
OH
Enumeration date
05/11/2017
Last updated
05/11/2017
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