Individual
LISA OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 LPGA BLVD, DAYTONA BEACH, FL 32117-3113
(386) 226-9000
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(352) 382-1141
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12492
FL
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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