Individual
LISA CARROLL FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
376 CONCORD RD, BEDFORD, MA 01730-2050
(781) 275-2010
Mailing address
47 SAMOSET RD, WINCHESTER, MA 01890-3441
(781) 799-7865
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
628223
MA
225XP0019X
Physical Rehabilitation Occupational Therapist
628223
MA
225XP0200X
Pediatric Occupational Therapist
628223
MA
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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