Individual
MR. DEBORAH ANN CELUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
675 SAINT MARYS VILLA RD, SAINT MARYS VILLA NURSING HOME, MOSCOW, PA 18444-9614
(570) 842-7621
Mailing address
675 SAINT MARYS VILLA RD, SAINT MARYS VILLA NURSING HOME, MOSCOW, PA 18444-9614
(570) 842-7621
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP005853
PA
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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