Provider Demographics
NPI:1083108112
Name:LAMPER, TESSA (OTR/L)
Entity Type:Individual
Prefix:
First Name:TESSA
Middle Name:
Last Name:LAMPER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:663 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MUNCY
Mailing Address - State:PA
Mailing Address - Zip Code:17756-7257
Mailing Address - Country:US
Mailing Address - Phone:570-772-7884
Mailing Address - Fax:855-232-8604
Practice Address - Street 1:663 RIDGE RD
Practice Address - Street 2:
Practice Address - City:MUNCY
Practice Address - State:PA
Practice Address - Zip Code:17756-7257
Practice Address - Country:US
Practice Address - Phone:570-772-7884
Practice Address - Fax:855-232-8604
Is Sole Proprietor?:No
Enumeration Date:2018-06-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEOC015443225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist