LISA HARRIS OTR, PC
Occupational Therapy at Research Blvd, Austin, TX

License number
Texas 1150976
Category
Restorative Service Providers
Type
Physical Therapist
License number
Texas 108508
Category
Restorative Service Providers
Type
Occupational Therapist
Owner
Name: LISA HARRIS OTR
Title: OWNER
Phone: (512) 892-7900
Address
Address
12710 Research Blvd STE 117, Austin, TX 78759
National Provider ID: 1346474756
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LISA HARRIS, O.T.R., PC

Austin, TX

Status:
Inactive
Doing business as:
Lisa Harris, O.T., PC<br>Lisa Harris, O.T.R., PC
Registration:
May 8, 2000
Addresses:
4534 W Gate Blvd STE 112, Austin, TX 78745 (Mailing)
4544 S Lamar Blvd, Austin, TX 78745
State ID:
0092661302
Business type:
Domestic Professional Corporation
DIRECTOR, Directors:
Amy Roesner GOVERNING, Governing Person, inactive, 9312 Roxanna Dr, Austin, TX 78748,Lisa Harris DIRECTOR, Director, inactive, 9312 Roxanna Dr, Austin, TX 78746
TIN:
17429548096

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