Individual
LISA B POE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7712 OLD CANTON RD, SUITE B, MADISON, MS 39110-9299
(601) 427-5775
(601) 206-0668
Mailing address
7712 OLD CANTON RD, SUITE B, MADISON, MS 39110-9299
(601) 427-5775
(601) 206-0668
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0350
MS
Other
Enumeration date
04/25/2008
Last updated
09/05/2013
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