Individual
LORI OTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43 TURNING LEAF WAY, READING, PA 19605-9107
(610) 929-1761
Mailing address
43 TURNING LEAF WAY, READING, PA 19605-9107
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC009258
PA
Other
Enumeration date
01/21/2007
Last updated
07/08/2007
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