Healthcare Provider Details

I. General information

NPI: 1083108112
Provider Name (Legal Business Name): TESSA LAMPER OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2018
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 FOULK RD STE 2A
WILMINGTON DE
19803-3733
US

IV. Provider business mailing address

663 RIDGE RD
MUNCY PA
17756-7257
US

V. Phone/Fax

Practice location:
  • Phone: 877-407-3422
  • Fax: 877-407-4329
Mailing address:
  • Phone: 570-772-7884
  • Fax: 855-232-8604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC015443
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: