Individual
MRS. REBECCA R LISY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2400 W MALLARD CREEK CHURCH RD, CHARLOTTE, NC 28262-2324
(704) 323-2108
Mailing address
4601 PARK RD, STE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1187
NC
Other
Enumeration date
11/30/2005
Last updated
12/17/2024
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