Individual
LORETTA LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462
(610) 834-1122
Mailing address
3338 MORNING GLORY, PHILADELPHIA, PA 19154
(215) 632-3745
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP001910L
PA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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