Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OP001421L | PA |
NPI | 1003250671 |
---|---|
Provider Name | Mrs. Lorianne Swidler |
First Address | Camp Hill, PA 17011-8366 |
Second Address | Harrisburg, PA 17102-1510 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2013 |
Last Update Date | 25/04/2013 |