Individual
MRS. LISA DAVIS ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
97 HUGHES RD, SUITE H, MADISON, AL 35758-3400
(256) 883-7338
(256) 883-7135
Mailing address
97 HUGHES RD, SUITE H, MADISON, AL 35758-3400
(256) 883-7338
(256) 883-7135
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3088
AL
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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