Individual
MRS. LISA RICHARDS VITELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1314 KRIEBEL MILL RD, COLLEGEVILLE, PA 19426-1525
(610) 584-1155
(610) 584-1155
Mailing address
1314 KRIEBEL MILL RD, COLLEGEVILLE, PA 19426-1525
(610) 584-1155
(610) 584-1155
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC001511L
PA
Other
Enumeration date
03/04/2007
Last updated
07/08/2007
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