| NPI | 1629523741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE TIFFANY Occupational Therapist 570-423-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: PA oc011615) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |