Individual
MAUREINA ELMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
718 S STATE ST, CLARKS SUMMIT, PA 18411-1749
(570) 586-2222
Mailing address
718 S STATE ST, CLARKS SUMMIT, PA 18411-1749
(570) 586-2222
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OC006696L
PA
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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