Individual
MS. LISA MARIE MCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
640 NARVON ROAD, GAP, PA 17527
(484) 343-2898
Mailing address
640 NARVON RD, GAP, PA 17527-9755
(484) 343-2898
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP-000800L
PA
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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