LISA DOUGLAS

ORLANDO, FL
NPI1760842215
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: FL  OT20253)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: OH  OT.007743)
225X00000X Occupational Therapist
(Licence: NM  4031)
Enumeration Date2016-02-25
Last Update Date2021-07-27
Business Address
LISA DOUGLAS MOT, OTR/L, CLT
809 GOOD HOMES RD
ORLANDO, FL 32818-6628
Phone number: 407-293-3156
Mailing Address
LISA DOUGLAS MOT, OTR/L, CLT
336 BROAD ST # 203
ROME, GA 30161-3006
Phone number: 407-293-3156