Individual
LORI N POLETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1900 RAVINE RD, WILLIAMSPORT, PA 17701-1799
(570) 323-8781
Mailing address
459 S FAIRVIEW ST, LOCK HAVEN, PA 17745-3403
(570) 660-8949
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006338
PA
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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