Individual
CHRISTINE LISHOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTRL
Contact information
Practice address
1068 MARSHBROOK RD, FACTORYVILLE, PA 18419-9608
(570) 510-0516
Mailing address
RR 2 BOX 2295, FACTORYVILLE, PA 18419-9628
(570) 222-5687
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC009944
PA
225XP0200X
Pediatric Occupational Therapist
0138991
NY
225XP0200X
Pediatric Occupational Therapist
OC009944
PA
Other
Enumeration date
02/26/2007
Last updated
09/25/2020
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