Individual
MISS FELICIA GABRIELLE IPPOLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/R
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-5314
Mailing address
400 GRANT ST, SUNBURY, PA 17801-2518
(570) 259-9671
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC015102
PA
Other
Enumeration date
08/10/2017
Last updated
07/17/2019
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