Lisa Abraham

Individual provider Active NPI Occupational Therapist · Winter Garden, FL

NPI 1427600477 · NPPES record last updated Sep 9, 2022

Key facts

NPI
1427600477
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
20034 (FL)
Practice address
1441 Winter Garden Vineland Rd
Winter Garden, FL 34787-4303
Phone
(407) 852-3347
NPI assigned
Jul 10, 2019
Sex
Female
Sole proprietor
No

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
20034FLMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 20034 FL Yes

Addresses

Primary practice location

1441 Winter Garden Vineland Rd
Winter Garden, FL 34787-4303

Mailing address

4780 Data CT
Orlando, FL 32817-8331

Other identifiers

IdentifierTypeStateIssuer
880020100MedicaidFL

Other providers in Winter Garden, FL

All providers in Winter Garden, FL · Occupational Therapist in Florida

Sources for this page

Verify at the official NPI Registry.