Individual
LISA ANN BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
506 S JACKSON ST, RITZVILLE, WA 99169-2106
(509) 659-1600
Mailing address
25412 S COLUMBIA BASIN HWY, CHENEY, WA 99004-7962
(509) 239-4579
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC0000213
WA
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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