Individual
MICAELA R WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15900 ROUTE 6, TROY, PA 16947-9308
(570) 297-4111
Mailing address
561 LINCOLN AVE, WILLIAMSPORT, PA 17701-2433
(570) 244-5567
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP009790
PA
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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