MYLENE MORT

BERLIN, PA
NPI1417020652
Former NameMYLENE HENRY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: PA  OP001290L)
Enumeration Date2006-11-16
Last Update Date2007-07-08
Business Address
Mrs. MYLENE MORT OTA
1404 HAY ST
BERLIN, PA 15530-1455
Phone number: 814-267-4212
Mailing Address
Mrs. MYLENE MORT OTA
2346 PLANK RD
HOOVERSVILLE, PA 15936-7617
Phone number: 814-893-5523
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