Individual
ALLISON DIFEBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
368 WINOLA AVE, KINGSTON, PA 18704-5125
(888) 265-2680
Mailing address
368 WINOLA AVE, KINGSTON, PA 18704-5125
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC012150
PA
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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