Individual
DEBRA BRIDGETTE OBST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
2125 ELIZABETH AVE, LAURELDALE, PA 19605-2259
(610) 921-9292
Mailing address
10 SALEM CIR, FLEETWOOD, PA 19522-1034
(610) 781-9072
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC003569L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC003569L
OCCUPATIONAL THERAPIST STATE LICENCE
PA
Enumeration date
10/10/2008
Last updated
10/10/2008
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