Individual
LORI ANN FETZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
650 PAUL SHORT RD, PENFIELD, PA 15849-2424
(814) 590-3298
Mailing address
650 PAUL SHORT RD, PENFIELD, PA 15849-2424
(814) 590-3298
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC008809
PA
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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