Individual
ADAM PETER LISEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
2933 LAKE JAMES DR APT 202, FUQUAY VARINA, NC 27526-3920
(120) 330-5148
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9390
NC
225XM0800X
Mental Health Occupational Therapist
8086
CO
Other
Enumeration date
09/17/2014
Last updated
07/30/2023
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