Individual
LISA GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
1028 E 179TH ST, BRONX, NY 10460-2222
(718) 842-0200
Mailing address
1028 E 179TH ST, BRONX, NY 10460-2222
(718) 842-0200
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006957-1
NY
Other
Enumeration date
11/21/2008
Last updated
11/21/2008
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