# GOOD SHEPHERD PENN PARTNERS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841659240
- **Authorized official:** AMY LISA LIEZ MS OTR/L (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (267) 973-6868

## Contact information

- **Practice address:** 3400 SPRUCE ST, 1 WHITE OT/PT DEPARTMENT, PHILADELPHIA, PA 19104-4238
- **Practice address phone:** (215) 662-3260
- **Mailing address:** 3400 SPRUCE ST, 1 WHITE OT/PT DEPARTMENT, PHILADELPHIA, PA 19104-4238
- **Mailing address phone:** (215) 662-3260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | OC013371 | PA | Yes |

## Other

- **Enumeration date:** 02/15/2016
- **Last updated:** 02/15/2016