Individual
BRIANA ERIN LIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 PEARY CIR, CRESSON, PA 16630-1831
(814) 937-8265
Mailing address
126 PEARY CIR, CRESSON, PA 16630-1831
(814) 937-8265
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC017950
PA
Other
Enumeration date
02/08/2023
Last updated
06/28/2025
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