Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251E1200X | Ergonomics | 31002015A | IN |
N | 225XE1200X | Ergonomics | 31002015A | IN |
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 31002015A | IN |
NPI | 1386881480 |
---|---|
Provider Name | Ms. Lisa Ann Beals |
First Address | Indianapolis, IN 46254-4780 |
Second Address | Marion, IN 46952-1300 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2009 |
Last Update Date | 11/01/2009 |