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NPI Code Detail

MEDICARE: ALISHA MARIE SLANOC OTR

MEDICARE:   ALISHA MARIE SLANOC  OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOC-007070-LPA

General Provider Information

NPI Number : 1053521963
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISHA MARIE SLANOC OTR
Provider Business Mailing Address
First Line : 1200 JEFFERSON AVE
Second Line :
City : PORTAGE
State : PA
Zip : 15946-1741
Country : US
Telephone Number : 814-736-9630
Fax Number :
Provider Business Practice Location Address
First Line : 1200 JEFFERSON AVE
Second Line :
City : PORTAGE
State : PA
Zip : 15946-1741
Country : US
Telephone Number : 814-243-4070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 07/08/2007

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Directions to “ ALISHA MARIE SLANOC OTR” Practice Location

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