Mrs. Lisa Flythe Durham
Occupational Therapist - Gerontology
200 Hampton Woods Complex Rd
Jackson
, North Carolina 27845-9503
Mrs. Lisa Flythe Durham
Occupational Therapist - Gerontology
200 Hampton Woods Complex Rd
Jackson
, North Carolina 27845-9503
(252) 578-3751
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Mrs. Lisa Flythe Durham
- 200 Hampton Woods Complex Rd
- Jackson, NC
- Zip : 27845-9503
- Phone : (252) 578-3751
Second Address
- Mrs. Lisa Flythe Durham
- 200 Hampton Woods Complex Rd
- Jackson, NC
- Zip : 27845-9503
- Phone : (252) 578-3751
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Is Mrs. Lisa Flythe Durham a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | 5879 | NC |
National Provider Identifier
| NPI | 1619224284 |
|---|---|
| Provider Name | Mrs. Lisa Flythe Durham |
| First Address | Jackson, NC 27845-9503 |
| Second Address | Jackson, NC 27845-9503 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/08/2012 |
| Last Update Date | 13/08/2012 |
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.