| NPI | 1598831711 |
|---|---|
| Former Name | LISA ANN WICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT26593) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31002976A) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2025-12-03 |