Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Shade

Individual provider Occupational Therapy Assistant · NPI 1306614748

Lisa Shade is an Occupational Therapy Assistant in Laureldale, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2023.

Licensed in
PA
In the registry since
2023
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Practice location Address checks out

2125 Elizabeth Ave
Laureldale, PA 19605-2259
Phone: (610) 921-9292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OP003431L (PA)

Record details

NPI number1306614748
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 14, 2023
Last updated in NPPESDecember 14, 2023
Certification dateDecember 14, 2023
Mailing address815 Sleepy Hollow Dr, Mohrsville, PA 19541-8626

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