Individual
LISA HENNING DUNEVANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
12729 OVERLOOK MOUNTAIN DR, CHARLOTTE, NC 28216-6739
(704) 405-7769
Mailing address
12729 OVERLOOK MOUNTAIN DR, CHARLOTTE, NC 28216-6739
(704) 405-7769
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6458
NC
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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