Individual
MS. DAWN MARIE PILOSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
108 TERRACE DR, OLYPHANT, PA 18447-2503
(570) 489-8611
Mailing address
133 PETTEBONE ST, DURYEA, PA 18642-1329
(570) 357-9364
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP003500L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP003500L
STATE
PA
Enumeration date
07/28/2011
Last updated
07/28/2011
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