Individual
MS. LISA MARIE REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT005606
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1057445
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY, INC
OH
01
—
OH3005561
STATE OF OHIO DEPARTMENT OF EDUCATION
OH
01
—
OT005606
OTPTAT BOARD
OH
Enumeration date
10/12/2016
Last updated
10/12/2016
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