NPI 1003975384
Lisa G Robertson, OT
Practice location
- Address
- 310 East Broadway Suite 100, Jackson, WY 83001
- Phone
- (307) 200-9520
- Mailing address
- PO Box 726, Jackson, WY 83001-0726
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1003975384
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Dec 2006
- Record last updated
- 8 Dec 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.