Individual
MARIAH MENICHELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
115 GATEWAY SHOPPING CTR, EDWARDSVILLE, PA 18704-4403
(570) 938-4634
(570) 763-4374
Mailing address
393 S MAIN ST, PITTSTON, PA 18640-2325
(570) 855-5636
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC019488
PA
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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