Individual
MRS. LISA ANN CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4325 N BRANCH DR, OMAHA, NE 68116-2954
(402) 445-2542
Mailing address
4325 N BRANCH DR, OMAHA, NE 68116-2954
(402) 445-2542
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
506
NE
Other
Enumeration date
12/03/2009
Last updated
12/03/2009
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