Individual
LISA MICHELE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2601 18TH ST NE, WASHINGTON, DC 20018-1301
(202) 541-6200
Mailing address
2405 IRVING ST NE, WASHINGTON, DC 20018-2536
(202) 669-1756
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT590
DC
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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