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Individual

MRS. LISA MICHELLE EBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
231 GRANITE RUN DR, LANCASTER, PA 17601-6823
(717) 735-3600
(717) 735-3604
Mailing address
231 GRANITE RUN DR, LANCASTER, PA 17601-6823
(717) 735-3600
(717) 735-3604

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OC000897I
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50078842
CAPITAL BLUECROSS
PA
Enumeration date
07/28/2006
Last updated
08/13/2010
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