Individual
MS. JANE M. LISSNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
127 PORTLAND AVE, DOVER, NH 03820-3526
(603) 742-9229
Mailing address
127 PORTLAND AVE, DOVER, NH 03820-3526
(603) 742-9229
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1056
NH
225X00000X
Occupational Therapist
OT1537
ME
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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