Individual
LISA BECK KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
30 KOTAL CIR, CANON, GA 30520-3528
(919) 349-8164
Mailing address
30 KOTAL CIR, CANON, GA 30520-3528
(919) 349-8164
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005877
GA
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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