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

LISA SHADE

Active

LISA SHADE is a Occupational Therapy Assistant healthcare provider located in LAURELDALE, Pennsylvania. NPI 1306614748 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · LAURELDALE, PA

Registration Details

NPI Number
1306614748
Provider Type
Individual
Gender
Female
NPI Issued
Dec 14, 2023 (2.6797292785135 yrs)
Last Updated
Dec 14, 2023
License
OP003431L (PA)

Practice Information

Address
2125 ELIZABETH AVE
LAURELDALE, PA, 196052259
Browse PA providers · Browse ZIP 19605
Phone
6109219292
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in LAURELDALE, PA

Name Credential NPI
MRS. DEBBEY LOU MOSER COTA/L 1881845071
MRS. JULIE MARIE HITE COTA 1265116909
HANNAH SELL 1548038201
SARA DUNKELBERGER 1396502639
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.