MR. Lisa Connelly Bazley, PT
NPI #1154305886 in West Long Branch, New Jersey
Provider Information
- NPI Number
- 1154305886
- Entity Type
- Individual
- Name
- MR. Lisa Connelly Bazley, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Dec 6, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 16 COOPER AVE
- City
- West Long Branch
- State
- New Jersey
- ZIP Code
- 07764-1214
- Phone
- (732) 263-9474
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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