| Lisa Burt, | |
|
788 Foxhound Dr, Port Orange, FL 32128-7004 | |
| (386) 451-4216 | |
| Not Available |
| Full Name | Lisa Burt |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 788 Foxhound Dr, Port Orange, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154953602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT20615 (Florida) | Secondary |
| 225X00000X | Occupational Therapist | 5201010799 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Burt, 788 Foxhound Dr, Port Orange, FL 32128-7004 Ph: (386) 451-4216 | Lisa Burt, 788 Foxhound Dr, Port Orange, FL 32128-7004 Ph: (386) 451-4216 |
Tonika Johnson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 Phone: 386-756-4395 Fax: 386-944-7202 | |
Stacy Wojy, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128 Phone: 888-265-2680 | |
Elizabeth Horrall, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 Phone: 386-756-4395 Fax: 386-944-7202 | |
Joshua Ruiz, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128 Phone: 800-330-7711 | |
Emily Noltemeyer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128 Phone: 888-265-2680 | |
Heidi Meramo, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Port Orange, FL 32128 Phone: 888-265-2680 | |
Gina Sentelik, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128 Phone: 386-756-4395 Fax: 386-756-4395 |