Individual
LISA FLEMING BRENNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 VARTAN WAY, HARRISBURG, PA 17110-9441
(717) 541-9620
Mailing address
6211 WESTOVER DR, MECHANICSBURG, PA 17050-2341
(717) 790-9835
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC002239L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101211076 0001
—
PA
Enumeration date
02/16/2007
Last updated
07/28/2014
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