Individual
MRS. ALICIA VICTORIA LYBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT OTRL
Contact information
Practice address
3023 WILMINGTON RD, NEW CASTLE, PA 16105
(724) 656-8814
(724) 656-8815
Mailing address
504 QUAIL DR, CRANBERRY TWP, PA 16066-4074
(724) 772-2272
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC009166
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015000500001
MEDICAL ASSISTANCE
PA
Enumeration date
03/26/2007
Last updated
07/08/2007
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