Individual
MRS. LISA FLYTHE DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
200 HAMPTON WOODS COMPLEX RD, JACKSON, NC 27845-9503
(252) 578-3751
Mailing address
200 HAMPTON WOODS COMPLEX RD, JACKSON, NC 27845-9503
(252) 578-3751
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
5879
NC
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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