Individual
LISA FISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
516 SAINT MARYS VILLA RD, ELMHURST TWP, PA 18444-9683
(570) 842-7621
Mailing address
16 JUNE DR, SPRING BROOK TOWNSHIP, PA 18444-6304
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC002711L
PA
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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