Lanore Alice Wisz, PTA
NPI #1205102191 in Kennett Square, Pennsylvania
Provider Information
- NPI Number
- 1205102191
- Entity Type
- Individual
- Name
- Lanore Alice Wisz, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Community Health Worker
- Credential
- PTA
- Enumeration Date
- Mar 26, 2012
- Last Updated
- Mar 26, 2012
Practice Location
- Address
- 600 S BROAD ST
- City
- Kennett Square
- State
- Pennsylvania
- ZIP Code
- 19348-3346
- Phone
- (855) 497-6449
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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