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Individual

LAURA E ROADARMEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSOTRL

Contact information

Practice address
1751 E BROAD ST, HAZLETON, PA 18201-5650
(570) 501-9814
Mailing address
306 WALNUT ST, DANVILLE, PA 17821-1551
(570) 594-1068

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC010065
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001963462
HIGHMARK BLUE SHIELD
PA
01
2483752
AETNA
PA
01
50066692
CAPITAL BLUE CROSS
PA
Enumeration date
01/16/2007
Last updated
02/26/2009
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