Individual
HANNAH PURSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 MAIN ST, LACEYVILLE, PA 18623-6704
(570) 412-9358
Mailing address
204 MAIN ST, LACEYVILLE, PA 18623-6704
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
OC019856
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025234800007
—
PA
Enumeration date
01/28/2020
Last updated
04/11/2026
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