Lisa M Krussow, COTA
NPI #1669607446 in Scottsburg, Indiana
Provider Information
- NPI Number
- 1669607446
- Entity Type
- Individual
- Name
- Lisa M Krussow, COTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- May 21, 2009
- Last Updated
- Apr 2, 2010
Practice Location
- Address
- 1350 N TODD DR
- City
- Scottsburg
- State
- Indiana
- ZIP Code
- 47170-7755
- Phone
- (812) 414-2660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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