Individual
LISA A. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
249 N GROVE MEDICAL PARK DR, SPARTANBURG, SC 29303-4222
(864) 598-0429
Mailing address
1 INDEPENDENCE PT, STE 212, GREENVILLE, SC 29615-4545
(864) 797-6307
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1277
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH0771
—
SC
Enumeration date
01/25/2007
Last updated
10/19/2015
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