Individual
MADISON NICOLE EBERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
91 HOSPITAL DR, TOWANDA, PA 18848-9702
(570) 265-2191
Mailing address
91 HOSPITAL DR, TOWANDA, PA 18848-9702
(570) 265-2191
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC017687
PA
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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