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Individual

MRS. CHRISTINA WELLIVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-5314
Mailing address
2 REHAB LN, DANVILLE, PA 17821-8498

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC010950
PA

Other

Enumeration date
04/22/2016
Last updated
04/22/2016
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