Lisa Mcconville
Occupational Therapist - Physical Rehabilitation
718 Teaneck Rd
Teaneck
, New Jersey 07666-4245
Lisa Mcconville
Occupational Therapist - Physical Rehabilitation
718 Teaneck Rd
Teaneck
, New Jersey 07666-4245
(201) 833-7102
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About
Features
Specialties
- Occupational Therapist - Physical Rehabilitation
Languages spoken
- English
Location
First Address
- Lisa Mcconville
- 718 Teaneck Rd
- Teaneck, NJ
- Zip : 07666-4245
- Phone : (201) 833-7102
Second Address
- Lisa Mcconville
- 718 Teaneck Rd
- Teaneck, NJ
- Zip : 07666-4245
- Phone : (201) 833-7102
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 46TR00160400 | NJ |
National Provider Identifier
| NPI | 1205426863 |
|---|---|
| Provider Name | Lisa Mcconville |
| First Address | Teaneck, NJ 07666-4245 |
| Second Address | Teaneck, NJ 07666-4245 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/01/2021 |
| Last Update Date | 19/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.