Individual
CARROLL S. FREESTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
401 UNIVERSITY DR, SCHUYLKILL HAVEN, PA 17972-2211
(570) 385-0331
Mailing address
804 REDWOOD AVE, WYOMISSING, PA 19610-1416
(610) 678-5618
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP001840L
PA
Other
Enumeration date
03/25/2007
Last updated
07/08/2007
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