Mark Lisak
Mark Lisak is an Occupational Therapy Assistant in Flagstaff, Arizona. Licensed in Arizona. Registered with an NPI since 2026.
- Licensed in
- AZ
- In the registry since
- 2026
Practice location Address checks out
3112 E Butler AveFlagstaff, AZ 86004-0009
Phone: (860) 519-7902
Fax: (502) 212-8502
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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 0047313 (AZ) |
|---|
Record details
| NPI number | 1699600452 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 15, 2026 |
| Last updated in NPPES | June 15, 2026 |
| Certification date | June 15, 2026 |
| Mailing address | 3112 E Butler Ave, Flagstaff, AZ 86004-0009 |
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