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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. LISA MARIE DIFFENBAUGH, MSPT

Active Sole Proprietor

MRS. LISA MARIE DIFFENBAUGH, MSPT is a Pediatric Occupational Therapy healthcare provider located in DOUGLASSVILLE, Pennsylvania. NPI 1205991585 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapy · DOUGLASSVILLE, PA

Registration Details

NPI Number
1205991585
Provider Type
Individual
Gender
Female
NPI Issued
Dec 27, 2006 (19.609684546924 yrs)
Last Updated
May 23, 2014
License
PT016899 (PA)
Sole Proprietor
Yes

Practice Information

Address
204 CAMERON DR
DOUGLASSVILLE, PA, 195188720
Browse PA providers · Browse ZIP 19518
Phone
4845299663
Fax
4849912109
Primary Specialty
Pediatric Occupational Therapy
2251P0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.