Individual
LORI ECKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
901 WALNUT ST, PHILADELPHIA, PA 19107-5214
(215) 503-6791
Mailing address
627 GATES ST, PHILADELPHIA, PA 19128-2512
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC010618
PA
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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