| NPI | 1851732242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHUANTISE P. DUBOSE Owner/Occupational Therapist 570-801-1902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC007133L) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |