Individual
MS. LISA CORUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
511 HARRINGTON HWY, EDEN, NC 27288-7547
(336) 280-5358
Mailing address
732 JOHN ST, EDEN, NC 27288-2814
(336) 280-5358
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6411
NC
Other
Enumeration date
11/13/2014
Last updated
03/27/2026
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