Individual
DEBORAH MARSILIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
364 LAKE MEADE DR, EAST BERLIN, PA 17316-9369
(717) 304-3105
Mailing address
364 LAKE MEADE DR, EAST BERLIN, PA 17316-9369
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036673590001
—
PA
Enumeration date
10/28/2019
Last updated
10/28/2019
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