Individual
VIRGINIA CACCIATORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
2545 SCHOENERSVILLE RD, BETHLEHEM, PA 18017-7300
(484) 884-5889
Mailing address
2545 SCHOENERSVILLE RD, BETHLEHEM, PA 18017-7300
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
66301
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66301
NATIONAL COUNCIL FOR THERAPEUTIC RECREATION CERTIFICATION
PA
Enumeration date
05/22/2020
Last updated
05/22/2020
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