Individual
ELISSA STINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
875 MONTOUR BLVD, DANVILLE, PA 17821
(570) 275-4221
Mailing address
10848 ROUTE 87 HIGHWAY, WILLIAMSPORT, PA 17701
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP009837
PA
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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