MS. Lisa Lyn Shover, PTA

NPI #1679739445 in Newport, Vermont

Provider Information

NPI Number
1679739445
Entity Type
Individual
Name
MS. Lisa Lyn Shover, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Health Worker
Credential
PTA
Enumeration Date
Jul 31, 2008
Last Updated
Oct 8, 2014

Practice Location

Address
63 SPRING ST
State
Vermont
ZIP Code
05855-5819
Phone
(802) 334-6242

Specialties & Taxonomy Codes

Specialty
Community Health Worker
Skilled Nursing Facility

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