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NPI Code Detail

MEDICARE: MS. LIZA M. LISAY P.T.

MEDICARE: MS. LIZA M. LISAY P.T.
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
1225100000XPhysical TherapistPT870220DC
2225100000XPhysical Therapist21320MD

General Provider Information

NPI Number : 1144334657
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LIZA M. LISAY P.T.
Provider Business Mailing Address
First Line : PO BOX 500
Second Line :
City : BROOKEVILLE
State : MD
Zip : 20833-0500
Country : US
Telephone Number : 301-728-4309
Fax Number : 410-654-8709
Provider Business Practice Location Address
First Line : 14235 PARK CENTER DR
Second Line :
City : LAUREL
State : MD
Zip : 20707-5261
Country : US
Telephone Number : 301-498-8100
Fax Number : 301-498-0009
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2006
Last Update Date : 01/07/2025

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