Provider Demographics
NPI:1609326701
Name:REED, LISA MARIE (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:MARIE
Last Name:REED
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 1:2183 BRISTOL RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-1200
Mailing Address - Country:US
Mailing Address - Phone:614-327-2625
Mailing Address - Fax:
Practice Address - Street 1:1950 N MALLWAY DR
Practice Address - Street 2:
Practice Address - City:UPPER ARLINGTON
Practice Address - State:OH
Practice Address - Zip Code:43221-4326
Practice Address - Country:US
Practice Address - Phone:614-487-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-12
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT005606174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1057445OtherNATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY, INC
OHOH3005561OtherSTATE OF OHIO DEPARTMENT OF EDUCATION
OHOT005606OtherOTPTAT BOARD