Individual
LAUREN GERVASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
170 PHEASANT RUN STE 100, NEWTOWN, PA 18940-1877
(215) 579-0670
Mailing address
324 WINDSOR CT, EWING, NJ 08638-1844
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC013808
PA
Other
Enumeration date
03/03/2015
Last updated
12/17/2018
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