Individual
MRS. LISA KONSTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3505 LAKE LYNDA DR, ORLANDO, FL 32817-8324
(877) 896-3660
(888) 345-7994
Mailing address
6713 BAYTHORNE RD, BALTIMORE, MD 21209-1627
(410) 486-5721
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A00808
MD
Other
Enumeration date
05/20/2007
Last updated
07/08/2007
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