Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT-004587 | OH |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT-004587 | OH |
NPI | 1558655837 |
---|---|
Provider Name | Ms. Lisa Marie Robinson |
First Address | New Carlisle, OH 45344-3029 |
Second Address | New Carlisle, OH 45344-3029 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2011 |
Last Update Date | 13/03/2016 |