Individual
EMILY MAISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
50 SUNRISE DR, LEBANON, PA 17042-8024
(717) 679-3419
Mailing address
50 SUNRISE DR, LEBANON, PA 17042-8024
(717) 679-3419
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC009945
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC009945
LICENSE
PA
Enumeration date
07/01/2006
Last updated
05/07/2015
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