Provider Demographics
NPI:1982864245
Name:CURNOW, LISA JEAN (OTR)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:JEAN
Last Name:CURNOW
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 W ICE LAKE RD
Mailing Address - Street 2:
Mailing Address - City:IRON RIVER
Mailing Address - State:MI
Mailing Address - Zip Code:49935-9526
Mailing Address - Country:US
Mailing Address - Phone:906-284-3778
Mailing Address - Fax:906-875-4791
Practice Address - Street 1:1523 US HIGHWAY 2
Practice Address - Street 2:
Practice Address - City:CRYSTAL FALLS
Practice Address - State:MI
Practice Address - Zip Code:49920-9633
Practice Address - Country:US
Practice Address - Phone:906-874-1422
Practice Address - Fax:906-874-1442
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201006394225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist