Individual
LISA MICHELLE SEALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
406 S MAIN ST, WINNSBORO, TX 75494-3226
(903) 342-6790
Mailing address
212 HOMESTEAD DR, PALESTINE, TX 75801-4344
(903) 922-3084
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209433
TX
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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