National Provider Identifier
Lisa Ann Nicholson, OTR/L
Lisa Ann Nicholson, OTR/L is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Avoca, NY and a listed phone number of (607) 566-3407.
Source: public NPPES record, last updated December 23, 2011. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1689820060
- Provider Type
- Individual
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- August 17, 2008
- Last Updated
- December 23, 2011
Practice Location
- 8992 Hemlock Road
- Avoca, NY 14809
Phone: (607) 566-3407
Mailing Address
- 8992 Hemlock RD
- Avoca, NY 14809-9777
Specialties
- Pediatric Occupational Therapist (225XP0200X)
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Biography
Lisa Nicholson is an OTR/L based in Avoca, New York, whose public provider profiles identify her occupational therapy practice with a pediatric focus.
Full Record
- NPI
- 1689820060
- Entity Type
- Individual
- Last Name
- Nicholson
- First Name
- Lisa
- Middle Name
- Ann
- Credential
- OTR/L
- Mailing Street Address
- 8992 Hemlock RD
- Mailing City
- Avoca
- Mailing State
- NY
- Mailing ZIP Code
- 14809-9777
- Mailing Country
- US
- Practice Street Address
- 8992 Hemlock Road
- Practice City
- Avoca
- Practice State
- NY
- Practice ZIP Code
- 14809
- Practice Country
- US
- Practice Phone
- (607) 566-3407
- Enumeration Date
- August 17, 2008
- Last Updated
- December 23, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)