Individual
LISA ANNE MARCOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
8638 VETERANS HWY, 1ST FLOOR, MILLERSVILLE, MD 21108-1422
(410) 295-8900
(410) 280-4701
Mailing address
2000 MEDICAL PKWY, SUITE 101, ANNAPOLIS, MD 21401-3742
(410) 295-8900
(410) 280-4701
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
05662
MD
Other
Enumeration date
12/21/2006
Last updated
08/12/2010
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