Lisa Marie Denisco, MPT
Physical Therapist, Neurology in East Northport, NY. Individual provider (NPI-1).
NPI number1730202128
StatusActive
Last updated in NPPESMar 23, 2015
Details
- NPI
- 1730202128
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lisa Marie Denisco
- Credential
- MPT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 9, 2007
- Last updated
- Mar 23, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251N0400X | Physical Therapist, Neurology | 022371 | NY | Yes |
Practice location
4 Patrician Ct.East Northport, NY 11731
Phone 631-261-1036 · Fax 516-731-1306
Mailing address
4 Patrician Ct.East Northport, NY 11731
Phone 631-261-1036 · Fax 516-731-1306
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