Individual
MS. LOIS A BENCARDINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
834 CHESTNUT ST, SUITE G114, PHILADELPHIA, PA 19107-5127
(610) 768-5940
(610) 768-5947
Mailing address
834 CHESTNUT ST, SUITE G114, PHILADELPHIA, PA 19107-5127
(610) 768-5940
(610) 768-5947
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
45TR00351400
NJ
225X00000X
Occupational Therapist
OC009216
PA
225XH1200X
Hand Occupational Therapist
46TR00351400
NJ
225XH1200X
Hand Occupational Therapist
Primary
OC009216
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2829089000
IBC - KEYSTONE
PW
Enumeration date
05/18/2007
Last updated
03/21/2023
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