EDWARD LEO RISING

BANGOR, PA
NPI1013115716
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: PA  OP001867L)
Enumeration Date2007-07-05
Last Update Date2007-07-08
Business Address
Mr. EDWARD LEO RISING COTA
701 SLATE BELT BLVD
BANGOR, PA 18013-9341
Phone number: 610-599-1454
Mailing Address
Mr. EDWARD LEO RISING COTA
396 SLATEFORD RD
MOUNT BETHEL, PA 18343-5514
Phone number: 570-897-6815
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