Organization
EDLANTIS ACHIEVEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL DESOTELLE OTR/L (PRESIDENT)
(717) 496-9364
Entity
Organization
Contact information
Practice address
3583 SCOTLAND RD, SCOTLAND, PA 17254-1200
(717) 496-9364
(717) 446-0707
Mailing address
PO BOX 393, SCOTLAND, PA 17254-0393
(717) 496-9364
(717) 446-0707
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
—
—
225XL0004X
Low Vision Occupational Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/19/2012
Last updated
05/07/2015
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