Individual
LISA S WZOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1331 LACEBARK ST, FEASTERVILLE TREVOSE, PA 19053-4517
(267) 262-3511
Mailing address
1331 LACEBARK ST, FEASTERVILLE TREVOSE, PA 19053-4517
(267) 262-3511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC006872L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019247680004
MA
PA
Enumeration date
04/16/2007
Last updated
02/14/2012
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