Individual
MRS. CORINNE MARIE MEREDITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
3023 WILMINGTON RD, NEW CASTLE, PA 16105
(724) 656-8814
(724) 656-8815
Mailing address
127 BURNADETTE ST, FOMBELL, PA 16123
(724) 712-1080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC009137
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015470930001
MEDICAL ASSISTANCE NUMBER
PA
Enumeration date
03/26/2007
Last updated
02/26/2019
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