Individual
MS. LISA M JOCHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
254 OLD EAGLE SCHOOL RD, APT #1, WAYNE, PA 19087-2454
(610) 254-0184
Mailing address
254 OLD EAGLE SCHOOL RD, APT #1, WAYNE, PA 19087-2454
(610) 254-0184
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC001870L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254
—
PA
Enumeration date
09/05/2007
Last updated
09/08/2010
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