MS. Deirdre Ellen Lisewski, COTA

NPI #1740564624 in Stony Point, New York

Provider Information

NPI Number: 1740564624
Entity Type: Individual
Name: MS. Deirdre Ellen Lisewski, COTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: COTA
Enumeration Date: Oct 10, 2011
Last Updated: Oct 10, 2011

Practice Location

Address: 2 MUNSSEE CT
City: Stony Point
State: New York
ZIP Code: 10980-3440
Phone: (845) 786-2419

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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