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NPI Code Detail

MEDICARE: MRS. LISA A SINTON OTR/L

MEDICARE: MRS. LISA A SINTON OTR/L
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
1174400000XSpecialist8961MA

General Provider Information

NPI Number : 1114219979
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LISA A SINTON OTR/L
Provider Business Mailing Address
First Line : 9 ROCKWOOD RD
Second Line :
City : HINGHAM
State : MA
Zip : 02043-1915
Country : US
Telephone Number : 781-974-7223
Fax Number :
Provider Business Practice Location Address
First Line : 2 SEAPORT DR
Second Line :
City : QUINCY
State : MA
Zip : 02171-1599
Country : US
Telephone Number : 617-769-5102
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2011
Last Update Date : 05/11/2011

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