Individual
MS. LISA RENEE WAXMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
13290 BISCAYNE BAY TER, NORTH MIAMI, FL 33181-2230
(305) 899-9665
(305) 895-0015
Mailing address
13290 BISCAYNE BAY TER, NORTH MIAMI, FL 33181-2230
(305) 899-9665
(305) 895-0015
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 981
FL
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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