Individual
MRS. LISA SHEPHERD PEARCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
10294 E 96TH ST, FISHERS, IN 46037-9497
(317) 288-7572
(317) 284-1765
Mailing address
9133 PRAIRIE RIDGE CT, INDIANAPOLIS, IN 46256-3499
(317) 570-4023
(317) 228-9163
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
3100218A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200433710
—
IN
Enumeration date
03/08/2007
Last updated
09/30/2024
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