Individual
ANTHONY CIPOLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
5 JACQUELYN LN, DALLAS, PA 18612
(631) 223-6713
Mailing address
5 JACQUELYN LN, DALLAS, PA 18612-9107
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
020190
NY
225X00000X
Occupational Therapist
Primary
OC007780
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC007780
OCCUPATIONAL THERAPY LICENSE
PA
Enumeration date
09/13/2016
Last updated
06/28/2018
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