Individual
MICHELE TEDESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 MEMORIAL AVE, WILLIAMSPORT, PA 17701-4725
(570) 322-5433
Mailing address
1626 MEADE ST, WILLIAMSPORT, PA 17701-3715
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OC003055L
PA
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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