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Individual

DENICE E. VAN DRIESEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.T.R./L.

Contact information

Practice address
2775 SCHOENERSVILLE RD, BETHLEHEM, PA 18017-7307
(610) 861-8080
(610) 807-0366
Mailing address
2775 SCHOENERSVILLE RD, BETHLEHEM, PA 18017-7307
(610) 861-8080
(610) 807-0366

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC002857L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02223802
CAPITAL BLUE CROSS
01
0422737000
KEYSTONE HEALTH EAST
01
2170728
MAMSI
01
2202022
UNITED HEALTHCARE
01
2420161
CIGNA HEALTHCARE
01
315283
HEALTHAMERICA/HEALTHASSUR
01
47241
GEISINGER HEALTH PLAN
01
821772
FIRST PRIORITY HEALTH
01
850162
AETNA PPO
01
962641
HIGHMARK BLUE SHIELD
01
P1643788
OXFORD HEALTH PLANS
Enumeration date
07/14/2005
Last updated
01/30/2008
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