Mrs. Lisa Marie Deboer
Occupational Therapist Occupational Therapist - Pediatrics Occupational Therapist - Gerontology
365 Aster Ridge Trl
Peachtree City
, Georgia 30269-3049
Mrs. Lisa Marie Deboer
Occupational Therapist Occupational Therapist - Pediatrics Occupational Therapist - Gerontology
365 Aster Ridge Trl
Peachtree City
, Georgia 30269-3049
(605) 351-9764
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About
Features
Specialties
- Occupational Therapist
- Occupational Therapist - Gerontology
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Lisa Marie Deboer
- 365 Aster Ridge Trl
- Peachtree City, GA
- Zip : 30269-3049
- Phone : (605) 351-9764
Second Address
- Mrs. Lisa Marie Deboer
- 365 Aster Ridge Trl
- Peachtree City, GA
- Zip : 30269-3049
- Phone : (605) 351-9764
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Is Mrs. Lisa Marie Deboer a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT006005 | GA |
| N | 225XG0600X | Occupational Therapist - Gerontology | 0579 | SD |
| N | 225XP0200X | Occupational Therapist - Pediatrics | OT006005 | GA |
National Provider Identifier
| NPI | 1518265230 |
|---|---|
| Provider Name | Mrs. Lisa Marie Deboer |
| First Address | Peachtree City, GA 30269-3049 |
| Second Address | Peachtree City, GA 30269-3049 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/03/2011 |
| Last Update Date | 03/08/2015 |
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.