Individual
LISA WOODRUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MBA, OTR/L
Contact information
Practice address
196 BEN BURTON CIR, BOGART, GA 30622-1790
(706) 612-4600
Mailing address
180 LANIER CT, ATHENS, GA 30605-3836
(706) 612-4600
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009838
GA
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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