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Individual

LISA DEVERE CARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
164 NURSING HOME CIR, BLAIRSVILLE, GA 30512-3117
(706) 745-4948
Mailing address
426 OVERLOOK CIR, DAWSONVILLE, GA 30534-7212
(678) 520-7291

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
20090
FL
225X00000X
Occupational Therapist
3888
FL
225X00000X
Occupational Therapist
Primary
3888
NC
225X00000X
Occupational Therapist
5521
AL
225X00000X
Occupational Therapist
OT004384
GA

Other

Enumeration date
12/17/2020
Last updated
08/17/2021
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