Organization
GOOD SHEPHERD PENN PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY LISA LIEZ MS OTR/L (OCCUPATIONAL THERAPIST)
(267) 973-6868
Entity
Organization
Contact information
Practice address
3400 SPRUCE ST, 1 WHITE OT/PT DEPARTMENT, PHILADELPHIA, PA 19104-4238
(215) 662-3260
Mailing address
3400 SPRUCE ST, 1 WHITE OT/PT DEPARTMENT, PHILADELPHIA, PA 19104-4238
(215) 662-3260
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
OC013371
PA
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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