Most Relevant Information
Provider Data
| NPI Number: | 1003062704 |
| Provider Name: | LORI ANN FETZER OT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OC008809 |
Most Important Dates
| Enumeration Date: | 08/13/2008 |
| Last Updated: | 08/13/2008 |
Provider Practice Location
650 PAUL SHORT RD
PENFIELD
PA
158492424
Practice Location Phone/Fax
| Phone: | 8145903298 |
| Fax: |
Provider Mailing Location
650 PAUL SHORT RD
PENFIELD
PA
158492424
Provider Mailing Phone/Fax
| Phone: | 8145903298 |
| Fax: |