Individual
TORI NICOLE MATTOCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
15900 US-6, TROY, PA 16947
(570) 297-4111
Mailing address
1052 LOWERS MOUNTAIN ROAD, CANTON, PA 17724
(570) 637-8435
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TOP009297
PA
Other
Enumeration date
11/08/2019
Last updated
10/31/2024
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