SearchNew Jersey224Z00000X

Lisa Wallace, COTA

NPI 1396368064 · on the registry since 2020 · sole proprietor

Practice

Address
480 Somerset St Unit 1
North Plainfield, NJ 07060
Phone
(954) 292-3295

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-05-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey