MS. Lisa Marie Decoste, MS,PT

NPI #1306890355 in Pawtucket, Rhode Island

Provider Information

NPI Number: 1306890355
Entity Type: Individual
Name: MS. Lisa Marie Decoste, MS,PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MS,PT
Enumeration Date: May 22, 2006
Last Updated: Dec 7, 2017

Practice Location

Address: 21 DIVISION ST
City: Pawtucket
State: Rhode Island
ZIP Code: 02860-5301
Phone: (401) 726-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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