Individual
MISS LISA K DRAPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC,M.ED.
Contact information
Practice address
769 SALEM BLVD, BERWICK, PA 18603-6828
(570) 542-1488
Mailing address
6224 SHERMANS VALLEY RD., LOYSVILLE, PA 17047
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT002046A
PA
Other
Enumeration date
02/14/2007
Last updated
01/20/2011
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