Organization
CDD PEDIATRIC THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA M. RANDAZZO (DIRECTOR)
(570) 296-3992
Entity
Organization
Contact information
Practice address
101 POCONO DR, MILFORD, PA 18337-9408
(570) 296-3992
Mailing address
101 POCONO DR, MILFORD, PA 18337-9408
(570) 296-3992
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/27/2011
Last updated
10/12/2016
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