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NPI Code Detail

MEDICARE: MISS LISA D'ORIA PT

MEDICARE:  MISS LISA  D'ORIA  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical TherapistP17057NC

General Provider Information

NPI Number : 1972666303
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LISA D'ORIA PT
Provider Business Mailing Address
First Line : 1517 N HOWE ST
Second Line :
City : SOUTHPORT
State : NC
Zip : 28461-2772
Country : US
Telephone Number : 910-454-0064
Fax Number : 910-454-0025
Provider Business Practice Location Address
First Line : 1517 N HOWE ST
Second Line :
City : SOUTHPORT
State : NC
Zip : 28461-2772
Country : US
Telephone Number : 910-332-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2006
Last Update Date : 01/30/2019

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Directions to “ MISS LISA D'ORIA PT” Practice Location

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