Individual
MRS. LISA MARIE ROYSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12753 AILANTHUS DR, HAGERSTOWN, MD 21742-4870
(301) 992-1584
Mailing address
12753 AILANTHUS DR, HAGERSTOWN, MD 21742-4870
(301) 992-1584
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
03767
MD
225X00000X
Occupational Therapist
Primary
OC014569
PA
Other
Enumeration date
02/11/2010
Last updated
05/09/2022
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