Individual
HEATHER LEE NYBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1201 RURAL AVE, WILLIAMSPORT, PA 17701-1669
(570) 323-4340
Mailing address
58 WASHINGTON BLVD, WILLIAMSPORT, PA 17701-5140
(570) 321-8415
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP003326L
PA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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