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NPI Code Detail

MEDICARE: MRS. LISA MICHELLE OSBORN OTR/L

MEDICARE: MRS. LISA MICHELLE OSBORN 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
1225X00000XOccupational Therapist9729CA

General Provider Information

NPI Number : 1952635914
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LISA MICHELLE OSBORN OTR/L
Provider Business Mailing Address
First Line : 200 KALMUS DR
Second Line :
City : COSTA MESA
State : CA
Zip : 92626-5922
Country : US
Telephone Number : 714-966-4000
Fax Number :
Provider Business Practice Location Address
First Line : 200 KALMUS DR
Second Line :
City : COSTA MESA
State : CA
Zip : 92626-5922
Country : US
Telephone Number : 714-966-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2009
Last Update Date : 06/09/2026

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