Lisa Shade
NPI #1306614748 in Laureldale, Pennsylvania
Provider Information
- NPI Number
- 1306614748
- Entity Type
- Individual
- Name
- Lisa Shade
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Dec 14, 2023
- Last Updated
- Dec 14, 2023
Practice Location
- Address
- 2125 ELIZABETH AVE
- City
- Laureldale
- State
- Pennsylvania
- ZIP Code
- 19605-2259
- Phone
- (610) 921-9292
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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