Individual
LISA CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-1727
(919) 736-2121
Mailing address
2401 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-1727
(919) 736-2121
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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