Individual
LIZSANDRA MARIE SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 CUMBERLAND AVE STE 110, MADISON, TN 37115-3339
(615) 596-1830
Mailing address
606 WINDSOR GREEN BLVD, GOODLETTSVILLE, TN 37072-2126
(786) 444-4118
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4291
TN
Other
Enumeration date
01/01/2026
Last updated
01/01/2026
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