Individual
JACQUELINE PATRICIA O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 LAKE LOUISE RD, DALLAS, PA 18612
(570) 510-2500
Mailing address
345 LAKE LOUISE RD, DALLAS, PA 18612-6061
(570) 510-2500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17725
CA
Other
Enumeration date
05/04/2016
Last updated
09/07/2018
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