Individual
KELBY ANN TRUCHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
698 HILL ROAD, SHICKSHINNY, PA 18655
(570) 899-4071
Mailing address
698 HILL ROAD, SHICKSHINNY, PA 18655
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
445268
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
445268
NBCOT
PA
Enumeration date
01/31/2021
Last updated
01/31/2021
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