Lissa Ellen Paak, OT

NPI #1346513157 in Aztec, New Mexico

Provider Information

NPI Number: 1346513157
Entity Type: Individual
Name: Lissa Ellen Paak, OT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Feb 10, 2012
Last Updated: Feb 10, 2012

Practice Location

Address: 1607 W AZTEC BLVD
City: Aztec
State: New Mexico
ZIP Code: 87410-1805
Phone: (505) 334-3695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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