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Individual

MARIBETH BARESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
655 NORTHERN BLVD, SOUTH ABINGTON TOWNSHIP, PA 18411-8740
(570) 587-2142
(570) 587-1978
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC014477
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OC014477
PA STATE LICENSE
PA
Enumeration date
09/28/2016
Last updated
02/18/2022
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