Individual
MR. ANTHONY MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
890 H ST, MEADVILLE, PA 16335-2061
(814) 853-5621
Mailing address
890 H ST, MEADVILLE, PA 16335-2061
(814) 853-5621
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC014103
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
346886
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
—
Enumeration date
09/28/2015
Last updated
09/28/2015
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