Wommack, Lisa Ann

Wommack, Lisa Ann is an sole proprietor health care provider with primary practice located at 1199 Prince Ave , Athens GA 30606-2797. 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. Wommack, Lisa Ann can be contacted via phone (706) 475-5820.

Contact Information

Primary practice address
1199 Prince Ave Athens GA 30606-2797
Phone: (706) 475-5820
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT002037 Georgia

Profile Details

NPI number 1831309350
LBN Legal business name Wommack, Lisa Ann
Credentials OCCUPATIONAL THERAPI
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
Last updated Jul 8th, 2007 - about 19 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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