Most Relevant Information
Provider Data
| NPI Number: | 1003358524 |
| Provider Name: | LISA C WALTERS PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 20319 |
Most Important Dates
| Enumeration Date: | 11/15/2016 |
| Last Updated: | 11/15/2016 |
Provider Practice Location
99 LONGWATER CIR
SUITE 201
NORWELL
MA
020611642
Practice Location Phone/Fax
| Phone: | 7813474686 |
| Fax: |
Provider Mailing Location
99 LONGWATER CIR
SUITE 201
NORWELL
MA
020611642
Provider Mailing Phone/Fax
| Phone: | 7813474686 |
| Fax: |