Individual
DIOHN MICHELLE FOUTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
800 COURT ST, CIRCLE DRIVE, SUNBURY, PA 17801-2818
(570) 286-7121
Mailing address
15 VILLA LN, SELINSGROVE, PA 17870-9100
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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