Individual
MARISSA BENTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 VINE ST, SCRANTON, PA 18510-2126
(570) 344-6177
Mailing address
15 PINE ST, PITTSTON, PA 18640-1663
(570) 905-2440
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC019770
PA
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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