Individual
LISA E TOWERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
6373 AUTUMN BERRY CIR, JACKSONVILLE, FL 32258-8416
(049) 079-4629
Mailing address
6373 AUTUMN BERRY CIR, JACKSONVILLE, FL 32258-8416
(904) 907-9462
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT14693
FL
225XP0200X
Pediatric Occupational Therapist
Primary
OT 14693
FL
Other
Enumeration date
05/25/2007
Last updated
03/14/2025
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