Individual
LISA ROCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2205 MOUNT VERNON ST, 3F, PHILADELPHIA, PA 19130-3114
(215) 512-1026
Mailing address
2205 MOUNT VERNON ST, 3F, PHILADELPHIA, PA 19130-3114
(215) 512-1026
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL0100092
PA
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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