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1831485978
LISA LYNN FERGUSON
WINSTON SALEM, NC
NPI
1831485978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 3177)
Enumeration Date
2011-06-28
Last Update Date
2011-06-28
Business Address
-- LISA LYNN FERGUSON OTR/L
1240 ARBOR RD
WINSTON SALEM, NC 27104-1106
Phone number: 336-724-7921
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Mailing Address
-- LISA LYNN FERGUSON OTR/L
1105 WELLESLEY PLACE DR
LEWISVILLE, NC 27023-8322
Phone number:
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