Individual
MRS. LISA ANN CROUNSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3 MOUNTAIN AVE, SOMERVILLE, MA 02143-1308
(617) 625-2531
Mailing address
3 MOUNTAIN AVE, SOMERVILLE, MA 02143-1308
(617) 625-2531
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8700
MA
225XP0200X
Pediatric Occupational Therapist
8700
MA
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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