Individual
MADELINE GLEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
770 S HANOVER ST, CARLISLE, PA 17013-4105
(717) 249-1363
Mailing address
448 SHELLBARK DR, NEWPORT, PA 17074-8325
(717) 636-0504
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OP009820
PA
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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