Individual
FELICIA LISEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT/ OTR/L
Contact information
Practice address
304 JUDD PLACE DR, FUQUAY VARINA, NC 27526-2386
(919) 557-8305
(919) 557-8306
Mailing address
2933 LAKE JAMES DR, FUQUAY VARINA, NC 27526-3920
(973) 476-9661
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9402
NC
Other
Enumeration date
09/30/2014
Last updated
11/18/2016
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