Pelo, Lisa
Pelo, Lisa is an sole proprietor health care provider with primary practice located at 4009 Lindbergh Dr , Addison TX 75001-4343. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Technologists, Technicians & Other Technical Service Providers / Technician, Other is her primary health care specialty. Pelo, Lisa can be contacted via phone (972) 428-3739.Contact Information
Primary practice address
4009 Lindbergh Dr
Addison TX 75001-4343
Phone: (972) 428-3739
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 106463 | Texas |
Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X | 84320 | Texas |
Profile Details
NPI number | 1952700544 |
---|---|
LBN Legal business name | Pelo, Lisa |
Credentials | ATP, OTR |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 19th, 2014 |
Last updated | Aug 19th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952700544 | NPPES |
Texas | MEDICAID | 010980303 |
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