Provider Demographics
NPI:1114219979
Name:SINTON, LISA A (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:A
Last Name:SINTON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 ROCKWOOD RD
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-1915
Mailing Address - Country:US
Mailing Address - Phone:781-974-7223
Mailing Address - Fax:
Practice Address - Street 1:2 SEAPORT DR
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02171-1599
Practice Address - Country:US
Practice Address - Phone:617-769-5102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-11
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8961174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist