Individual
LISA M FEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T
Contact information
Practice address
1901 DUTTON DR, SUITE D, SAN MARCOS, TX 78666-7573
(512) 558-2002
(512) 392-1634
Mailing address
819 WATER ST, SUITE 300, KERRVILLE, TX 78028-5333
(830) 792-3300
(830) 792-5771
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110416
TX
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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