Individual
MRS. LISA MARIE MCPHEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
56528 ASH RD, OSCEOLA, IN 46561-9661
(609) 276-0793
Mailing address
56528 ASH RD, OSCEOLA, IN 46561-9661
(609) 276-0793
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
31004548A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200892250A
—
IN
Enumeration date
05/15/2008
Last updated
05/15/2008
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