Individual provider · Type 1 NPI
Lisa Jill Mick, OT
Specialist · Albuquerque, NM
NPI number
1821189473
Active
Practice location
5200 Copper Ave NE
Albuquerque, NM 87108-1473
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 1421 (NM) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1821189473
Lisa Jill Mick, OT's National Provider Identifier is 1821189473, issued on Sep 27, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 8, 2007.