Individual
MR. ALICIA MARIE TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
2500 ADAMS AVE, HOLY FAMILY RESIDENCE, SCRANTON, PA 18509-1515
(570) 689-1910
Mailing address
2500 ADAMS AVE, HOLY FAMILY RESIDENCE, SCRANTON, PA 18509-1515
(570) 689-1910
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC003253L
PA
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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