Organization
INDEPENDENCE WITH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA FIELDS OT (OCCUPATIONAL THERAPIST)
(512) 280-7943
Entity
Organization
Contact information
Practice address
4602 BALCONES WOODS DR, AUSTIN, TX 78759-5210
(512) 280-7943
(512) 418-1052
Mailing address
4602 BALCONES WOODS DR, AUSTIN, TX 78759-5210
(512) 280-7943
(512) 418-1052
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
86156
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0037DZ
BCBS ID
TX
Enumeration date
04/23/2007
Last updated
08/22/2020
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