Individual
LISA SWANSEGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4289 ALLPORT CUTOFF, MORRISDALE, PA 16858-7324
(814) 577-1967
(814) 342-2755
Mailing address
4289 ALLPORT CUTOFF, MORRISDALE, PA 16858-7324
(814) 577-1967
(814) 342-2755
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC002879L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001748259
—
PA
Enumeration date
08/26/2016
Last updated
08/26/2016
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