Individual
LORA FAY WENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1015 TIVERTON RD, MECHANICSBURG, PA 17050-7699
(717) 379-4543
Mailing address
4666 MACLAYS MILL RD, SHIPPENSBURG, PA 17257-9119
(717) 522-9269
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OP007299
PA
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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