Individual
AMANDA MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 STACIE DR, HAZLETON, PA 18201-5690
(570) 453-5100
Mailing address
304 N 2ND ST, LEHIGHTON, PA 18235-1419
(610) 577-5830
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008275
PA
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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