Provider Demographics
NPI:1447452768
Name:FLUEHR, LISA GABLE (OTR)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:GABLE
Last Name:FLUEHR
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1268 TRESSLER DR
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034-1728
Mailing Address - Country:US
Mailing Address - Phone:215-793-4337
Mailing Address - Fax:
Practice Address - Street 1:1268 TRESSLER DR
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-1728
Practice Address - Country:US
Practice Address - Phone:215-793-4337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC006236L225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics