Individual
MS. LISA J. SLUPEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
100 LITTLE DR, LOWER BURRELL, PA 15068-3345
(724) 339-1071
(724) 339-2882
Mailing address
1531 FORRESTDALE RD, HARRISONVILLE, PA 17228-9322
(724) 448-1317
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OPOO3294L
PA
224Z00000X
Occupational Therapy Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831383249
—
PA
Enumeration date
08/29/2007
Last updated
11/13/2018
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