Individual
LISA SEYMOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTD, OTR
Contact information
Practice address
4630 FAIRVISTA DR, CHARLOTTE, NC 28269-1098
(314) 954-5785
Mailing address
4630 FAIRVISTA DR, CHARLOTTE, NC 28269-1098
(314) 954-5785
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
03/02/2014
Last updated
03/02/2014
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