Healthcare Provider Details

I. General information

NPI: 1548180631
Provider Name (Legal Business Name): CARISSA HESS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 KINGS ARMS LN
LANCASTER PA
17602-1236
US

IV. Provider business mailing address

811 KINGS ARMS LN
LANCASTER PA
17602-1236
US

V. Phone/Fax

Practice location:
  • Phone: 717-406-6030
  • Fax:
Mailing address:
  • Phone: 717-406-6030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC017267
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: