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NPI Code Detail

MEDICARE: MRS. LISA M CODY OT CHT

MEDICARE:  MRS. LISA M CODY  OT CHT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XH1200XHand Occupational TherapistOT2792FL

General Provider Information

NPI Number : 1003018326
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LISA M CODY OT CHT
Provider Business Mailing Address
First Line : 801 N ORANGE AVE
Second Line : STE 610
City : ORLANDO
State : FL
Zip : 32801-1026
Country : US
Telephone Number : 407-228-0588
Fax Number :
Provider Business Practice Location Address
First Line : 801 N ORANGE AVE
Second Line : STE 610
City : ORLANDO
State : FL
Zip : 32801-1026
Country : US
Telephone Number : 407-228-0588
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2007
Last Update Date : 01/30/2017

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Directions to “ MRS. LISA M CODY OT CHT” Practice Location

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