Individual
LUCIA CIVILETTI GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
147 OLD NEWPORT ST, NANTICOKE, PA 18634-1327
(570) 740-5391
(570) 740-5347
Mailing address
147 OLD NEWPORT ST, NANTICOKE, PA 18634-1327
(570) 740-5391
(570) 740-5347
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC003473L
PA
Other
Enumeration date
11/11/2013
Last updated
11/11/2013
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