Individual
LISA MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3609 BOND ST, RALEIGH, NC 27604-3801
(919) 231-8113
Mailing address
2601 NOBLEWOOD CIR, RALEIGH, NC 27604-1849
(978) 505-2758
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13088
NC
Other
Enumeration date
03/17/2016
Last updated
05/02/2022
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