Individual
LISA MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
19140 CHANDLERS LANDING DR, APT 104, CORNELIUS, NC 28031-4536
(910) 545-0968
Mailing address
19140 CHANDLERS LANDING DR, APT 104, CORNELIUS, NC 28031-4536
(910) 545-0968
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9816
NC
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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