Most Relevant Information
Provider Data
| NPI Number: | 1003218462 |
| Provider Name: | ADAM PETER LISEWSKI OT |
| Entity Type: | Individual |
| Taxonomy Code: | 225XM0800X |
| Specialty: | Occupational Therapist |
| License Number: | 8086 |
Most Important Dates
| Enumeration Date: | 09/17/2014 |
| Last Updated: | 07/30/2023 |
Provider Practice Location
3000 NEW BERN AVE
RALEIGH
NC
276101231
Practice Location Phone/Fax
| Phone: | 9193508000 |
| Fax: |
Provider Mailing Location
2933 LAKE JAMES DR APT 202
FUQUAY VARINA
NC
275263920
Provider Mailing Phone/Fax
| Phone: | 1203305148 |
| Fax: |