Individual
MS. LUCY ANN CENTAFONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1345 CURTIS RD, SOUTHAMPTON, PA 18966-3339
(215) 322-8374
Mailing address
1345 CURTIS RD, SOUTHAMPTON, PA 18966-3339
(215) 322-8374
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC000089L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019643150003
MA PROMISE
PA
01
—
0019643150004
MA PROMISE
PA
Enumeration date
04/12/2007
Last updated
07/08/2007
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