Individual
MRS. MALISSA LYNNE RANKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
54 MARLIN ST, BROOKVILLE, PA 15825-1016
(814) 849-6269
Mailing address
12082 OLEAN TRL, SUMMERVILLE, PA 15864-2932
(814) 379-9862
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC006801L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1018289700001
MEDICAL ASSISTANCE
PA
Enumeration date
04/10/2007
Last updated
07/08/2007
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