Individual
MRS. MARYBETH ELIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 HIGH POINT DR, KANE, PA 16735-9704
(814) 837-6706
Mailing address
34760 PORTLAND MILLS RD, RIDGWAY, PA 15853-4932
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006162
PA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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