Doctor Name: | LISA MARIE SCHOSTOK |
NPI Number: | 1174987358 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 21671 |
Business Practice Address: | 1180 Beacon St Suite 6c Brookline, MA - 024463885 |
Business Phone Number: | 6177305337 |
Business Fax Number: | |
Mailing Address: | 41 White Pl, Apt 2 BROOKLINE |
State: | MA |
Postal Code: | 024457614 |
Phone Number: | 8478787896 |
Fax Number: | |
NPI Enumeration Date: | 04/13/2016 |
NPI Last Update Date: | 04/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 21671 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |