Individual
KATHLEEN FRANCES LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(484) 476-6408
Mailing address
65 NEELYTOWN RD, CAMPBELL HALL, NY 10916-2736
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
021368
NY
225X00000X
Occupational Therapist
46TR00759000
NJ
225X00000X
Occupational Therapist
Primary
OC015563
PA
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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