Organization
LISA E. CYZNER, PHD, OTRL
Active
Other names
Private Practice of Lisa E. Cyzner, PhD, OTRl
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA ELLEN CYZNER PHD OTRL (OWNER AND DIRECTOR)
(704) 542-9473
Entity
Organization
Contact information
Practice address
6401 CARMEL RD, SUITE 101, CHARLOTTE, NC 28226-8279
(704) 542-9473
(704) 752-4348
Mailing address
6401 CARMEL RD, SUITE 101, CHARLOTTE, NC 28226-8279
(704) 542-9473
(704) 752-4348
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4095
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7212092
—
NC
Enumeration date
11/29/2006
Last updated
12/11/2007
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