Tebo, Lisa Rae

Tebo, Lisa Rae is an sole proprietor health care provider with primary practice located at 5 Cherry Ln , Tupper Lake NY 12986-1075. 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. Tebo, Lisa Rae can be contacted via phone (518) 359-9495.

Contact Information

Primary practice address
5 Cherry Ln Tupper Lake NY 12986-1075
Phone: (518) 359-9495
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 006114-1 New York

Profile Details

NPI number 1992974802
LBN Legal business name Tebo, Lisa Rae
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2008
Last updated Feb 25th, 2008 - about 18 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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