Individual
MISS STACI L LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3250 STATE STREET, SELLERSVILLE, PA 18960
(215) 257-2751
(215) 257-4128
Mailing address
1228 S FAIRVIEW RD, ALLENTOWN, PA 18103
(484) 221-9729
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OPOO1208L
PA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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