Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT2792 | FL |
NPI | 1003018326 |
---|---|
Provider Name | Mrs. Lisa M Cody |
First Address | Orlando, FL 32801-1026 |
Second Address | Orlando, FL 32801-1026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 30/01/2017 |