KEITH BRISLIN

OLYPHANT, PA
NPI1447981980
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: PA  OP002876L)
Enumeration Date2022-06-23
Last Update Date2022-06-23
Business Address
KEITH BRISLIN COTA/L
109 TERRACE DR
OLYPHANT, PA 18447-2502
Phone number: 570-483-4603
Mailing Address
KEITH BRISLIN COTA/L
109 TERRACE DR
OLYPHANT, PA 18447-2502
Phone number: 570-483-4603
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