Individual
MISS LISA MARIE GEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA, LMT
Contact information
Practice address
6982 PINE FOREST RD, PENSACOLA, FL 32526-8909
(814) 591-0586
Mailing address
6552 LARK AVE, MILTON, FL 32570-3876
(814) 591-0586
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA9992
FL
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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