Individual
LISA SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 S BLACK HORSE PIKE, WILLIAMSTOWN, NJ 08094-9130
(856) 875-0100
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00618700
NJ
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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