Individual
LISA REA EPPEHIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
620 W VALLEY FORGE RD, KING OF PRUSSIA, PA 19406-1571
(610) 337-1214
Mailing address
329 GWYNEDD CT, EXTON, PA 19341-1421
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI001859
PA
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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