Individual
MS. DENISE LORE WEISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
3075 RIDGW AVE, MARC, EAGLEVILLE, PA 19403-1206
(610) 265-4700
(610) 265-3439
Mailing address
513 LEXINGTON LN, EAGLEVILLE, PA 19403-1206
(610) 630-6621
(610) 630-6470
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC001384L
PA
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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