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Individual

HALEY L DIMASSIMO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
27 MAIN ST, DALLAS, PA 18612-1640
(570) 282-9382
(570) 227-1891
Mailing address
27 MAIN ST, DALLAS, PA 18612-1640
(570) 282-9382
(570) 227-1891

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC016480
PA

Other

Enumeration date
08/28/2019
Last updated
12/11/2020
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