Lisa Andrews

Individual provider Active NPI Occupational Therapy Assistant · Oxford, MS

NPI 1063844041 · NPPES record last updated Aug 1, 2013

Key facts

NPI
1063844041
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
TA2827 (MS)
Practice address
120 Veterans Dr
Oxford, MS 38655-3578
Phone
(662) 234-9898
NPI assigned
Aug 1, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
TA2827MSMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X TA2827 MS Yes

Addresses

Primary practice location

120 Veterans Dr
Oxford, MS 38655-3578

Mailing address

4109 Highway 98 W
Summit, MS 39666-9132

Other providers in Oxford, MS

All providers in Oxford, MS · Occupational Therapy Assistant in Mississippi

Sources for this page

Verify at the official NPI Registry.