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Individual

LISA SEVERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
2665 ROYAL FOREST DR. SUITE B-90, KINGWOOD TX, TX 77339
(281) 358-0577
(281) 358-1520
Mailing address
5619 DARLING ST. UNIT C, HOUSTON, TX 77007
(989) 205-3450

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
117705
TX
225X00000X
Occupational Therapist
5201004942
MI
225XP0200X
Pediatric Occupational Therapist
OT 10487
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
889306300
FL
Enumeration date
04/10/2007
Last updated
03/17/2018
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