Lisa Malcomson, PT, DPT
NPI #1396167029 in Port Jefferson, New York
Provider Information
- NPI Number
- 1396167029
- Entity Type
- Individual
- Name
- Lisa Malcomson, PT, DPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT, DPT
- Enumeration Date
- Jan 15, 2014
- Last Updated
- Jan 15, 2014
Practice Location
- Address
- 75 N COUNTRY RD
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-2119
- Phone
- (631) 473-1320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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