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General NPI Number Information
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NPI Number | 1881171585
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Entity Type | Individual
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Provider Name | LISA B MANLEY DPT
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Gender | Female
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Dates
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Enumeration Date | 07/25/2018
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 6 GLEN COVE DR
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City | ROCKPORT
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State | ME
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Zip | 04856-4272
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Country | US
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Telephone | 207-301-6091
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Fax | 207-301-5266
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Provider Business Mailing Address
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Address Line | 6 GLEN COVE DR
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City | ROCKPORT
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State | ME
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Zip | 04856-4273
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Country | US
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Telephone | 207-921-6395
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Fax | 207-921-6378
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PT3063
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License Number State | ME
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