Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LISA N. WALLACE, LPTA
ActiveMRS. LISA N. WALLACE, LPTA is a Occupational Therapist healthcare provider located in LAGRANGE, Georgia. NPI 1801099767 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · LAGRANGE, GA
Registration Details
- NPI Number
- 1801099767
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 7, 2007 (19.144351721404 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PTA000264 (GA)
Practice Information
- Address
-
1514 VERNON RDLAGRANGE, GA, 302404131Browse GA providers · Browse ZIP 30240
- Phone
- 7068453192
- Fax
- 7068453700
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in LAGRANGE, GA
| Name | Credential | NPI |
|---|---|---|
| CLIFFORD DANIEL THOMAS SWANN | — | 1932800935 |
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.