Individual
MRS. LISA DAWN MCROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2907 WILLIAMSON COUNTY PKWY, MARION, IL 62959-5256
(618) 998-9894
Mailing address
2704 HICKORY LN, MARION, IL 62959-8489
(618) 534-2864
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002541
IL
Other
Enumeration date
02/07/2010
Last updated
02/07/2010
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