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Organization
THERAPY FUNDAMENTALS
Active
Organization
THERAPY FUNDAMENTALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE COLLINS MS, OTR/L (OCCUPATIONAL THERAPIST)
(570) 664-6005
Entity
Organization
Contact information
Practice address
511 INDEPENDENCE RD, EAST STROUDSBURG, PA 18301-8202
(570) 664-6005
(570) 664-6885
Mailing address
511 INDEPENDENCE RD, EAST STROUDSBURG, PA 18301-8202
(570) 664-6005
(570) 664-6885
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104147353-0001
—
PA
05
—
104147353-0002
—
PA
Enumeration date
08/08/2022
Last updated
09/30/2024
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