MS. Lisa Piccolo, PHYSICAL THERAPIST

NPI #1194092171 in Port Ewen, New York

Provider Information

NPI Number: 1194092171
Entity Type: Individual
Name: MS. Lisa Piccolo, PHYSICAL THERAPIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PHYSICAL THERAPIST
Enumeration Date: Nov 19, 2011
Last Updated: Jul 10, 2012

Practice Location

Address: 319 BROADWAY
Address 2: ULSTER BOCES ALTERNATIVE EDUCATION
City: Port Ewen
State: New York
ZIP Code: 12466
Phone: (845) 339-8707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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