Individual
MELANIE SUE DARUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-9300
Mailing address
31 E RANSOME ST, PORT ALLEGANY, PA 16743-1052
(814) 598-7415
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007094
PA
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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