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Individual

ADRIENNE TRIPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
208 10TH ST, RENOVO, PA 17764-1117
(570) 484-1361
Mailing address
208 10TH STREET, RENOVO, PA 17764

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
OP007212
PA

Other

Enumeration date
04/25/2012
Last updated
04/25/2012
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