Alicia Canavan

NPI #1316376767 in Hazle Township, Pennsylvania

Provider Information

NPI Number: 1316376767
Entity Type: Individual
Name: Alicia Canavan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Nov 6, 2013
Last Updated: Nov 6, 2013

Practice Location

Address: 401 HAZLE TOWNSHIP BLVD
Address 2: 403 HAZLE TOWNSHIP BLVD
City: Hazle Township
State: Pennsylvania
ZIP Code: 18202-9661
Phone: (570) 454-8888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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