Individual
LISA GAIL PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
424 N RAND RD, NORTH BARRINGTON, IL 60010-1496
(847) 697-7800
Mailing address
201 BELLAGIO DR, AUSTIN, TX 78734-5082
(512) 800-9965
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004272
IL
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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