Individual
MRS. LISA LYNN MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
(610) 991-2034
(610) 438-2046
Mailing address
21570 WINSHALL CT, N/A, SAINT CLAIR SHORES, MI 48081-1234
(586) 321-7411
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003515
MI
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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