Individual
HOPE WORMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1864 N TOWNSHIP BLVD, PITTSTON, PA 18640-3550
(570) 883-5700
(570) 883-7017
Mailing address
1864 N TOWNSHIP BLVD, PITTSTON, PA 18640-3550
(570) 883-5700
(570) 883-7017
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP003242L
PA
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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