Individual
LISA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 E ADAMS ST, NEW LONDON, IA 52645-1708
(319) 217-8561
Mailing address
602 E ADAMS ST, NEW LONDON, IA 52645-1708
(319) 217-8561
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
075072
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AD
—
IA
Enumeration date
10/31/2015
Last updated
10/31/2015
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