Individual
MRS. PAMALA ROSE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
GUARDIAN HEALTH CARE AND REHABILITATION CENTER, 147 OLD NEWPORT ST, NANICOKE, PA 18707
(570) 735-7300
Mailing address
GUARDIAN HEALTH CARE AND REHABILITATION CENTER, 147 OLD NEWPORT ST, NANICOKE, PA 18707
(570) 735-7300
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP001743L
PA
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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