Individual
MS. LISA WALCHONSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3975 CONSHOHOCKEN AVE, PHILADELPHIA, PA 19131-5426
(215) 879-1000
(215) 879-3912
Mailing address
5016 BLUE BIRD CIR, EAGLEVILLE, PA 19403-1846
(610) 539-0915
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC004084L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020184550001
—
PA
Enumeration date
10/18/2007
Last updated
01/10/2008
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