Individual
ALLISON STALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
311 WYOMING AVE, WYOMING, PA 18644-1620
(570) 336-0309
Mailing address
PO BOX 241, DALLAS, PA 18612-0241
(570) 336-0309
(272) 207-2774
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC018601
PA
225XP0200X
Pediatric Occupational Therapist
Primary
OC018601
PA
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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