Individual
MATTHEW JAMES POPALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
211 E 1ST ST, BLOOMSBURG, PA 17815-1405
(570) 784-5930
Mailing address
211 E 1ST ST, BLOOMSBURG, PA 17815-1405
(570) 784-5930
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP002716L
PA
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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