Provider Demographics
NPI:1851512024
Name:DESCHENES, LISA BRIGITTE (PT)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:BRIGITTE
Last Name:DESCHENES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186 CHEMIN VIOLETTE
Mailing Address - Street 2:
Mailing Address - City:DSL DE DRUMMOND
Mailing Address - State:NEW BRUNSWICK
Mailing Address - Zip Code:E3Y 2R1
Mailing Address - Country:CA
Mailing Address - Phone:506-553-9863
Mailing Address - Fax:
Practice Address - Street 1:10 BERNADETTE STREET
Practice Address - Street 2:
Practice Address - City:CARIBOU
Practice Address - State:ME
Practice Address - Zip Code:04736
Practice Address - Country:US
Practice Address - Phone:207-498-3102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME1632225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist