Individual
EUGENIE RUTH CORSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
133 RODEO DRIVE, GLASGOW, PA 16644
(814) 687-4930
Mailing address
133 RODEO DRIVE, GLASGOW, PA 16644
(814) 687-4930
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP001335L
PA
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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