Individual
LISA BARONIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
304 JUDD PLACE DR, FUQUAY VARINA, NC 27526-2386
(919) 557-8305
Mailing address
106 HORNE CREEK CT, CARY, NC 27519-5204
(443) 520-4433
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
8323
NC
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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