Organization
MLA MANAGEMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGARET VENTRELLA OTR/L (PRESIDENT/SECRETARY)
(570) 778-4742
Entity
Organization
Contact information
Practice address
75 YELLOW RUN RD, JIM THORPE, PA 18229-2704
(570) 778-4742
(570) 325-8687
Mailing address
75 YELLOW RUN RD, JIM THORPE, PA 18229-2704
(570) 778-4742
(570) 325-8687
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC006982L
PA
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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