Individual
LISA ANGELA LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 INDEPENDENCE BLVD, SICKLERVILLE, NJ 08081-1094
(856) 210-2777
Mailing address
401 INDEPENDENCE BLVD, SICKLERVILLE, NJ 08081-1094
(856) 210-2777
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09025100
NJ
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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