Individual
MRS. TUESDAY NICOLE JOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1201 RURAL AVE, WILLIAMSPORT, PA 17701-1669
(570) 323-4340
Mailing address
416 RIDGE RD, MONTGOMERY, PA 17752-8786
(570) 772-6995
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007723
PA
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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