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Individual

ALICIA CANAVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
401 HAZLE TOWNSHIP BLVD, 403 HAZLE TOWNSHIP BLVD, HAZLE TOWNSHIP, PA 18202-9661
(570) 454-8888
(570) 459-9252
Mailing address
401 HAZLE TOWNSHIP BLVD, 403 HAZLE TOWNSHIP BLVD, HAZLE TOWNSHIP, PA 18202-9661
(570) 454-8888
(570) 459-9252

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC012049
PA

Other

Enumeration date
11/06/2013
Last updated
11/06/2013
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