Individual
LISA MISERENDINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
21630 N 19TH AVE, PHOENIX, AZ 85027-2719
(415) 977-6751
Mailing address
40850 N. HEARST DRIVE, ANTHEM, AZ 85086
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/03/2015
Last updated
04/27/2020
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