Individual
LIESL RANCOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1490 N WALES RD, BLUE BELL, PA 19422-3687
(585) 760-9276
Mailing address
1490 N WALES RD, BLUE BELL, PA 19422-3687
(215) 315-3313
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC015661
PA
225XP0200X
Pediatric Occupational Therapist
Primary
OC015661
PA
252Y00000X
Early Intervention Provider Agency
OC015661
PA
Other
Enumeration date
11/20/2017
Last updated
03/12/2025
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