Lisa Boutwell, PTA
NPI #1073374054 in Pittsfield, Maine
Provider Information
- NPI Number
- 1073374054
- Entity Type
- Individual
- Name
- Lisa Boutwell, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jan 17, 2024
- Last Updated
- Jan 17, 2024
Practice Location
- Address
- 167 SEBASTICOOK ST
- City
- Pittsfield
- State
- Maine
- ZIP Code
- 04967-4107
- Phone
- (207) 416-5236
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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