Individual
LISA MICHELLE DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4603 TIMBERWALK CT, LA GRANGE, KY 40031-6746
(703) 864-6695
(888) 830-3233
Mailing address
PO BOX 117, FISHERVILLE, KY 40023-9731
(502) 338-0216
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R1713
KY
Other
Enumeration date
07/01/2009
Last updated
02/24/2020
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