Hodi Lymphatic Center LLC

NPI #1508477084 in Edwardsville, Pennsylvania

Provider Information

NPI Number: 1508477084
Entity Type: Organization
Organization Name: Hodi Lymphatic Center LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Aug 10, 2020
Last Updated: Aug 10, 2020

Practice Location

Address: 115 GATEWAY SHOPPING CTR
City: Edwardsville
State: Pennsylvania
ZIP Code: 18704-4403
Phone: (570) 814-5977

Authorized Official

Name: CANDICE YENDRZEIWSKI, OT
Title: OT, OWNER
Phone: (570) 814-5977

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist - Environmental Modification — Environmental Modification	225XE0001X
Occupational Therapist - Physical Rehabilitation — Physical Rehabilitation	225XP0019X
Occupational Therapist	225X00000X	Primary

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