Individual
LISA ANNE WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1659 PROSPECT ST, BELMONT, CA 94002-3722
(650) 594-5908
Mailing address
1659 PROSPECT ST, BELMONT, CA 94002-3722
(650) 594-5908
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 8042
CA
225XH1200X
Hand Occupational Therapist
Primary
OT 8042
CA
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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