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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. LISA FERGUSON MINERICH, OTR/L

Active Sole Proprietor

MRS. LISA FERGUSON MINERICH, OTR/L is a Gerontology Occupational Therapist healthcare provider located in NAGS HEAD, North Carolina. NPI 1316548001 is currently active in the NPPES registry. Verify at CMS.

Gerontology Occupational Therapist · NAGS HEAD, NC

Registration Details

NPI Number
1316548001
Provider Type
Individual
Gender
Female
NPI Issued
Nov 8, 2020 (5.8008736832449 yrs)
Last Updated
Nov 8, 2020
License
7631 (NC)
Sole Proprietor
Yes

Practice Information

Address
4800 S CROATAN HWY
NAGS HEAD, NC, 279599704
Browse NC providers · Browse ZIP 27959
Phone
2524494560
Primary Specialty
Gerontology Occupational Therapist
225XG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.