Fowler, Lisa M

Fowler, Lisa M is an individual health care provider with primary practice located at 437 W Thurber Rd Ste 2, Tucson AZ 85705-6822. 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. Fowler, Lisa M can be contacted via phone (520) 293-5252.

Contact Information

Primary practice address
437 W Thurber Rd Ste 2 Tucson AZ 85705-6822
Phone: (520) 293-5252
Fax: (520) 293-5454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 1867 Arizona

Profile Details

NPI number 1609873777
LBN Legal business name Fowler, Lisa M
Credentials OTRL, CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Feb 1st, 2016 - about 9 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 1609873777 NPPES
Arizona Other 86059251885704C007 TRICARE NUMBER
Arizona Other 6013520001 TRICARE NUMBER

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