Individual
LISA NAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
110 HORIZON DR STE 100, RALEIGH, NC 27615-4927
(919) 481-6712
Mailing address
1544 KILN CT, CARY, NC 27519-9645
(216) 280-6769
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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