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NPI 1427488337 · on the registry since 2013 · sole proprietor
Practice
- Address
- 701 Slate Belt Blvd
Bangor, PA 18013 - Phone
- (610) 588-9933
- Fax
- (610) 599-1418
- Organisation at this address
- Wilkes Barre Vamc
Oak Hrc Slate Belt Llc
Northwood Health Services, Pc
Fir Lane Terrace Convalescent Center Inc.
Slate Belt Health & Rehabilitation Center, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 24
Registry record
- Primary taxonomy
- Occupational Therapist
225X00000X
- Also registered as
- Occupational Therapy Assistant
Occupational Therapist - Licence states on file
- PA, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania