Individual
BILLIE LIGHTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 VALLEY VIEW BLVD, ALTOONA, PA 16602-6410
(814) 944-5014
(814) 944-6500
Mailing address
2702 5TH AVE, ALTOONA, PA 16602-2025
(814) 946-0220
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP001884L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000023490012
—
PA
Enumeration date
10/04/2006
Last updated
07/08/2007
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