Individual
LISA HENNES WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
122 N ELM ST, SUITE 400, GREENSBORO, NC 27401-2878
(336) 334-5601
Mailing address
122 N ELM ST, SUITE 400, GREENSBORO, NC 27401-2878
(336) 334-5601
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0953
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03410
BCBSNC
—
Enumeration date
07/26/2007
Last updated
07/26/2007
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