Individual
MS. LYSA E SHOCKET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
101 S BRYN MAWR AVE, SUITE 300, BRYN MAWR, PA 19010-3120
(610) 525-1000
(610) 525-1001
Mailing address
101 S BRYN MAWR AVE, SUITE 300, BRYN MAWR, PA 19010-3120
(610) 525-1000
(610) 525-1001
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OC011065
PA
Other
Enumeration date
10/11/2007
Last updated
01/15/2010
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