Individual
NICOLE COVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W LAUREL ST, FRACKVILLE, PA 17931-2018
(570) 874-0696
Mailing address
313 E PATTERSON ST, SAINT CLAIR, PA 17970-1354
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007360
PA
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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