MRS. Lisa Dawn Kubow, COTA/L

NPI #1578879342 in Carmi, Illinois

Provider Information

NPI Number
1578879342
Entity Type
Individual
Name
MRS. Lisa Dawn Kubow, COTA/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Aug 31, 2010
Last Updated
Aug 31, 2010

Practice Location

Address
216 COLLEGE BLVD
City
Carmi
ZIP Code
62821-1548
Phone
(618) 382-5125

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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