Individual
LAUREN BUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 N UNION ST, MIDDLETOWN, PA 17057-2158
(717) 930-1200
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(239) 826-3550
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008727
PA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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