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NPI Code Detail

MEDICARE: LORI TIBERI MA, ATR

MEDICARE: LORI TIBERI MA, ATR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1221700000XArt Therapist

General Provider Information

NPI Number : 1245083476
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI TIBERI MA, ATR
Provider Business Mailing Address
First Line : 416 QUEEN ST
Second Line :
City : PHILA
State : PA
Zip : 19147-3021
Country : US
Telephone Number : 215-320-2601
Fax Number :
Provider Business Practice Location Address
First Line : 416 QUEEN ST
Second Line :
City : PHILA
State : PA
Zip : 19147-3021
Country : US
Telephone Number : 215-320-2601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2024
Last Update Date : 04/08/2024

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Directions to “ LORI TIBERI MA, ATR” Practice Location

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