Individual
KAREN WEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 ROBERTS RD, PITTSTON, PA 18640-3111
(570) 655-2891
Mailing address
922 MEADOWLARK DR, MADISON TOWNSHIP, PA 18444-8925
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC008277
PA
Other
Enumeration date
11/18/2012
Last updated
11/18/2012
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