Individual
LIZA ROSALIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1628 JOHN F KENNEDY BLVD, SUITE 401, PHILADELPHIA, PA 19103-2125
(215) 557-0057
Mailing address
2863 BIG DIPPER LN, CHAMBERSBURG, PA 17201-7063
(616) 510-0581
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC010080
PA
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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