Lisa Badore, PTA

NPI #1780951269 in Pine Plains, New York

Provider Information

NPI Number: 1780951269
Entity Type: Individual
Name: Lisa Badore, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Nov 28, 2011
Last Updated: Nov 28, 2011

Practice Location

Address: 50 POPLAR AVE
City: Pine Plains
State: New York
ZIP Code: 12567-5531
Phone: (518) 398-5643

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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