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Contact Information

VICTOR LISAK, OT
76 SWEET BRIAR DR
APT. 11
CLARK, NJ07066-2053
 Phone: 800-950-6066
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for VICTOR LISAK · (Male)

NPI Number 1447482138
Status Active
Credentials OT (Occupational Therapist)
Entity Individual
Enumeration date 08/14/2009
Last updated 08/14/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 46TR00429800
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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