Organization
WELL-NURTURED DEVELOPMENT
Active
Other names
Well-Nurtured Development
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E VANESKO OTRL (OWNER)
(570) 336-0309
Entity
Organization
Contact information
Practice address
311 WYOMING AVE, WYOMING, PA 18644-1620
(570) 336-0309
(272) 207-2774
Mailing address
311 WYOMING AVE, WYOMING, PA 18644-1620
(570) 336-0309
(272) 207-2774
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
02/15/2021
Last updated
01/26/2026
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