Provider Demographics
NPI:1447574405
Name:FRANCO, LISA MARIE (PTA)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:MARIE
Last Name:FRANCO
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Gender:F
Credentials:PTA
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Mailing Address - Street 1:136 WEST MAIN STREET
Mailing Address - Street 2:CORA
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06052-1315
Mailing Address - Country:US
Mailing Address - Phone:860-801-6171
Mailing Address - Fax:860-826-4762
Practice Address - Street 1:290 ROBERTS STREET
Practice Address - Street 2:CONNECTICUT ORTHOPEDIC REHABILITATION ASSOCIATES
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06108
Practice Address - Country:US
Practice Address - Phone:860-290-3788
Practice Address - Fax:860-290-3789
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-19
Last Update Date:2016-05-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT001030225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant