Individual
PAMELA BRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
693 MAIN ST STE 2, NEW MILFORD, PA 18834-7200
(570) 465-2027
(570) 465-2028
Mailing address
RR# 2 BOX 172, SUSQUEHANNA, PA 18847
(607) 729-0044
(607) 729-9994
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
006833
NY
225XH1200X
Hand Occupational Therapist
Primary
OC005531L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02638439
—
NY
Enumeration date
11/15/2006
Last updated
03/17/2018
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