Individual
LISA KAMMERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
2530 CHESTNUT AVE, 1ST FLOOR, ARDMORE, PA 19003-3016
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007271
NY
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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