Individual
MRS. LISA MARIE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
2195 HARRODSBURG RD FL 2, LEXINGTON, KY 40504-3516
(595) 621-9808
(859) 257-0573
Mailing address
1012 DOE MEADOW CT, LEXINGTON, KY 40509-2064
(571) 217-0137
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
260440
KY
225XH1200X
Hand Occupational Therapist
260440
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100632600
—
KY
Enumeration date
10/17/2005
Last updated
02/16/2022
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