Debra a States Otr/l Clt Mfrp

NPI #1235553819 in James Creek, Pennsylvania

Provider Information

NPI Number: 1235553819
Entity Type: Organization
Organization Name: Debra a States Otr/l Clt Mfrp
Primary Specialty: Occupational Therapist
Enumeration Date: Feb 18, 2014
Last Updated: Nov 19, 2014

Practice Location

Address: 15428 RAYSTOWN RD
City: James Creek
State: Pennsylvania
ZIP Code: 16657-8705
Phone: (814) 658-3498

Authorized Official

Name: DEBRA A STATES
Title: OWNER/OCCUPATIONAL THERAPIST
Phone: (814) 658-3498

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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