Doctor Name: | MRS. LISA M CODY |
NPI Number: | 1003018326 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OT CHT |
License Number: | OT2792 |
Business Practice Address: | 224 W Central Pkwy 1018 Altamonte Springs, FL - 327142545 |
Business Phone Number: | 4073891092 |
Business Fax Number: | |
Mailing Address: | 307 E Vanderbilt St, ORLANDO |
State: | FL |
Postal Code: | 328045562 |
Phone Number: | 4072280588 |
Fax Number: | |
NPI Enumeration Date: | 05/31/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | OT2792 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |