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NPI 1033494745 · Environmental Modification Occupational Therapist · Lake Ariel, PA
Provider details
- NPI number
- 1033494745
- Entity type
- Organization
- Primary specialty
- Environmental Modification Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jennifer Barillo, Owner(570) 647-8445
- License
- OC-005834-L (PA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
590 Gravity Rd
Lake Ariel, PA 18436-4136
Phone: (570) 647-8445
Approximate (ZIP-level) locationGet directions
Mailing address
590 Gravity Rd
Lake Ariel, PA 18436-4136
Registry dates
- Enumerated
- 2011-10-13
- Last updated
- 2011-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.