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Contact Information

LISA WOOD
1207 WOODS WALK
VILLA RICA, GA30180
 Phone: 812-431-1098
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for LISA WOOD · (Female)

NPI Number 1487984019
Status Active
Credentials
Entity Individual
Enumeration date 01/04/2010
Last updated 10/11/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • GA License # OTA001291
  • IN License # 32001740A
  • KY License # A4278
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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