MS. Lisa Marie Cantara, MS, ATC, CSCS
NPI #1093778904 in Stony Brook, New York
Provider Information
- NPI Number
- 1093778904
- Entity Type
- Individual
- Name
- MS. Lisa Marie Cantara, MS, ATC, CSCS
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MS, ATC, CSCS
- Enumeration Date
- Apr 11, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 100 NICOLLS RD
- Address 2
- SBU, ISC
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11794-3500
- Phone
- (631) 632-7709
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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