Provider Demographics
NPI:1043637887
Name:CONE, LISA (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:
Last Name:CONE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10558 EASTERN SHORE BLVD APT 316
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORT
Mailing Address - State:AL
Mailing Address - Zip Code:36527-5853
Mailing Address - Country:US
Mailing Address - Phone:309-696-1299
Mailing Address - Fax:
Practice Address - Street 1:4343 LANGLEY AVE
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-8511
Practice Address - Country:US
Practice Address - Phone:914-390-4347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-18
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.006880225XG0600X
FLOT21093225XG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology