Individual
MISS MICHELE LOUISE DUNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTRL
Contact information
Practice address
3023 WILMINGTON RD, PEDIATRIC THERAPY PROFESSIONALS INC, NEW CASTLE, PA 16105
(724) 656-8814
(724) 656-8815
Mailing address
63 ROBIN HOOD DR, YOUNGSTOWN, OH 44511-3635
(724) 944-2759
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC010241
PA
225XP0200X
Pediatric Occupational Therapist
Primary
OT008697
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1017855780001
MEDICAL ASSISTANCE #
PA
Enumeration date
03/26/2007
Last updated
03/17/2018
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