Individual
MRS. LISA ANN WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A/L
Contact information
Practice address
233 WILLOWLEAF WAY, SHARPSBURG, GA 30277-4685
(770) 463-4192
Mailing address
233 WILLOWLEAF WAY, SHARPSBURG, GA 30277
(770) 463-4192
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000551
GA
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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