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NPI Code Detail

MEDICARE: MRS. LISA NOYES OTR

MEDICARE:  MRS. LISA  NOYES  OTR
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
1225X00000XOccupational Therapist113791TX

General Provider Information

NPI Number : 1164893244
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LISA NOYES OTR
Provider Business Mailing Address
First Line : 7801 N RICHLAND BLVD
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-6415
Country : US
Telephone Number : 469-609-9045
Fax Number :
Provider Business Practice Location Address
First Line : 7801 N RICHLAND BLVD
Second Line :
City : NORTH RICHLAND HILLS
State : TX
Zip : 76180-6415
Country : US
Telephone Number : 469-609-9045
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2015
Last Update Date : 10/14/2015

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Directions to “ MRS. LISA NOYES OTR” Practice Location

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