Individual
MRS. LISA MARIE GREAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
321 GARLAND DR, LAKE JACKSON, TX 77566-6238
(979) 297-3365
(979) 297-3541
Mailing address
321 GARLAND DR, LAKE JACKSON, TX 77566-6238
(979) 297-3365
(979) 297-3541
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103569
TX
Other
Enumeration date
12/16/2005
Last updated
10/09/2007
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