Ralston, Lisa S.

Ralston, Lisa S. is an sole proprietor health care provider with primary practice located at 3038 St. Charles Ave. 3038 St. Charles Ave., Gainesville GA 30504. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Ralston, Lisa S. can be contacted via phone (770) 654-0667.

Contact Information

Primary practice address
3038 St. Charles Ave. 3038 St. Charles Ave. Gainesville GA 30504
Phone: (770) 654-0667
Fax: (770) 531-9330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 3484 Georgia

Profile Details

NPI number 1881746170
LBN Legal business name Ralston, Lisa S.
Credentials MS, OTR L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Jul 9th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881746170 NPPES
Georgia MEDICAID 00932764A

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