Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LISA FLYTHE DURHAM, MS, OTR/L
Active Sole ProprietorMRS. LISA FLYTHE DURHAM, MS, OTR/L is a Gerontology Occupational Therapist healthcare provider located in JACKSON, North Carolina. NPI 1619224284 is currently active in the NPPES registry. Verify at CMS.
Gerontology Occupational Therapist · JACKSON, NC
Registration Details
- NPI Number
- 1619224284
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 13, 2012 (13.998848675995 yrs)
- Last Updated
- Aug 13, 2012
- License
-
5879 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 HAMPTON WOODS COMPLEX RDJACKSON, NC, 278459503Browse NC providers · Browse ZIP 27845
- Phone
- 2525783751
- 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.