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Individual

MRS. LISA KAY FOSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.T.R./L.

Contact information

Practice address
28900 HICKORY LODGE DR, VAN METER, IA 50261-6033
(515) 996-9280
Mailing address
28900 HICKORY LODGE DR, VAN METER, IA 50261-6033
(515) 996-9280

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00015
IA

Other

Enumeration date
10/17/2012
Last updated
10/17/2012
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