Individual
LISA BETH VIANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
155 NEVIS WAY, BURLINGTON, NC 27215-8594
(336) 601-4727
Mailing address
155 NEVIS WAY, BURLINGTON, NC 27215-8594
(336) 601-4727
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9557
NC
225XP0200X
Pediatric Occupational Therapist
9557
NC
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G76041
—
NC
Enumeration date
07/19/2016
Last updated
04/13/2023
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