LENNISA CHERYL SHABAZZ

PHILADELPHIA, PA
NPI1134563778
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: PA  OC012544)
Enumeration Date2013-04-25
Last Update Date2013-04-25
Business Address
Ms. LENNISA CHERYL SHABAZZ OTR/L
1526 LOMBARD ST
PHILADELPHIA, PA 19146-1625
Phone number: 215-546-5960
Mailing Address
Ms. LENNISA CHERYL SHABAZZ OTR/L
7120 ARDLEIGH ST APT E
PHILADELPHIA, PA 19119-1205
Phone number: 315-956-0493