Individual
MRS. LISA MIZELL SLOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
906 W 15TH ST, WASHINGTON, NC 27889-3533
(252) 946-7145
Mailing address
1560 BAILEY RD, WILLIAMSTON, NC 27892-8629
(252) 792-4236
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0760
NC
Other
Enumeration date
02/23/2008
Last updated
02/23/2008
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