Individual
ERICA HAEFELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1003 WYOMING AVE, FORTY FORT, PA 18704-4002
(570) 846-0455
Mailing address
1003 WYOMING AVE, FORTY FORT, PA 18704-4002
(570) 766-8881
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC18559
PA
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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