Individual
MRS. LISA ANN D'ANDRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
16020 PARK VALLEY DR, ROUND ROCK, TX 78681-3573
(512) 388-1448
(512) 388-7854
Mailing address
19000 HAWTHORNE BLVD, SUITE 230, TORRANCE, CA 90503-1517
(310) 371-5111
(310) 371-8528
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
1864
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-8488154
EMPLOYER IDENTIFICATION #
—
Enumeration date
09/27/2006
Last updated
02/28/2020
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