Individual
LISA DOLPHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1717 BOYSON RD, HIAWATHA, IA 52233-2313
(319) 721-9333
Mailing address
1717 BOYSON RD, HIAWATHA, IA 52233-2313
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
01090
IA
Other
Enumeration date
09/20/2019
Last updated
08/17/2021
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