Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa M Harrison

Individual provider Occupational Therapy Assistant · NPI 1164020095

Lisa M Harrison is an Occupational Therapy Assistant in Palm Coast, Florida. Licensed in Alabama, Arizona, Florida and Mississippi and 3 more. Registered with an NPI since 2020.

Licensed in
AL, AZ, FL, MS, NJ, NM
In the registry since
2020
Specialties on file
7
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Practice location Address checks out

83 Pepperdine Dr
Palm Coast, FL 32164-7498
Phone: (386) 793-3159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA15358 (FL)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence OTA046825 (AZ)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence OTA3726 (MS)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence OTA4227 (NM)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 46TA09186500 (NJ)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 214087 (TX)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 4394 (AL)

Record details

NPI number1164020095
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 13, 2020
Last updated in NPPESOctober 13, 2020
Certification dateOctober 13, 2020
Mailing addressPo Box 353842, Palm Coast, FL 32135-3842

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