Individual
LISA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOT, OTR
Contact information
Practice address
243 RASPBERRY RD, LEOLA, PA 17540-2215
(717) 283-5917
Mailing address
243 RASPBERRY RD, LEOLA, PA 17540-2215
(717) 283-5917
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC015776
PA
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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