Individual
LISA L PELHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3421 MEDICAL PARK DR, MED PARK II, MOBILE, AL 36693-3330
(251) 665-8201
(251) 665-8210
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 665-8201
(251) 665-8210
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0589
AL
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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