MEDICARE: MS. LISA HELKER DEFRANCESCO MS, OTR/L

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
1	225XP0200X	Pediatric Occupational Therapist	4527	AZ

General Provider Information

NPI Number	:	1164713798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LISA HELKER DEFRANCESCO MS, OTR/L

Provider Business Mailing Address
First Line	:	8610 N ASPEN AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-2204
Country	:	US
Telephone Number	:	520-468-9579
Fax Number	:

Provider Business Practice Location Address
First Line	:	8610 N ASPEN AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-2204
Country	:	US
Telephone Number	:	520-468-9579
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2011
Last Update Date	:	04/30/2011

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