Individual
KRISTINE A FELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
354 MAIN ST, FOREST CITY, PA 18421-1418
(570) 785-2018
(570) 785-2061
Mailing address
RR #1 BOX 1368, MAPLE GROVE RD, MOSCOW, PA 18444
(570) 689-2542
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC0067841
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
914865
BLUE SHIELD
PA
Enumeration date
12/29/2006
Last updated
07/08/2007
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