# ANGEL OCCUPATIONAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760844153
- **Authorized official:** MR. FRANK MINELLI (DELEGATED OFFICIAL)
- **Authorized official phone:** (570) 341-5012

## Contact information

- **Practice address:** 222 N MAIN ST, SCRANTON, PA 18517-1418
- **Practice address phone:** (570) 341-5012
- **Practice address fax:** (570) 341-5092
- **Mailing address:** 222 N MAIN ST, SCRANTON, PA 18517-1418
- **Mailing address phone:** (570) 341-5012
- **Mailing address fax:** (570) 341-5092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | PA | Yes |

## Other

- **Enumeration date:** 03/24/2016
- **Last updated:** 03/24/2016