Individual
MISS MARY HEARITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
REAR 750 STATE RTE 93, SYBERTSVILLE, PA 18251
(570) 708-2525
Mailing address
PO BOX 323, SYBERTSVILLE, PA 18251
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
OC012942
PA
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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