Individual
CONSTANCE M PICCOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
163 N IROQUOIS CIR, HAZLETON, PA 18202-9174
(570) 582-9835
Mailing address
163 N IROQUOIS CIR, HAZLETON, PA 18202-9174
(570) 582-9835
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC008596
PA
Other
Enumeration date
04/02/2022
Last updated
04/02/2022
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