Individual
NICOLE MOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1100 SPRUCE ST STE 100, KULPMONT, PA 17834-1239
(570) 373-2112
Mailing address
1100 SPRUCE ST STE 100, KULPMONT, PA 17834-1239
(570) 373-2112
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP005818
PA
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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