Mrs. Lisa Ferguson Minerich
Occupational Therapist - Gerontology
4800 S Croatan Hwy
Nags Head
, North Carolina 27959-9704
Mrs. Lisa Ferguson Minerich
Occupational Therapist - Gerontology
4800 S Croatan Hwy
Nags Head
, North Carolina 27959-9704
(301) 785-0556
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Mrs. Lisa Ferguson Minerich
- 1 Fern Ln
- Southern Shores, NC
- Zip : 27949-3719
- Phone : (301) 785-0556
Second Address
- Mrs. Lisa Ferguson Minerich
- 4800 S Croatan Hwy
- Nags Head, NC
- Zip : 27959-9704
- Phone : (252) 449-4560
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | 7631 | NC |
National Provider Identifier
| NPI | 1316548001 |
|---|---|
| Provider Name | Mrs. Lisa Ferguson Minerich |
| First Address | Southern Shores, NC 27949-3719 |
| Second Address | Nags Head, NC 27959-9704 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/11/2020 |
| Last Update Date | 08/11/2020 |
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.