Individual
MS. LISA ANN BEALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OT CSCS
Contact information
Practice address
1800 N WABASH RD, SUITE 200, MARION, IN 46952-1300
(765) 651-3229
Mailing address
5105 COPPERMILL CIR, INDIANAPOLIS, IN 46254-4780
(317) 328-1186
Taxonomy
Speciality
Code
Description
License number
State
225XE1200X
Ergonomics Occupational Therapist
31002015A
IN
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
31002015A
IN
Other
Enumeration date
01/11/2009
Last updated
01/11/2009
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