Jeffrey Paul Iacavazzi OTR

NPI 1376669846 - Occupational Therapist - 225X00000X

NPI Details
NPI 1376669846
Gender Male
Enumeration Date 03/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1115 CORNELL ST
SCRANTON PA, 18504-3008, US
Phone (570) 346-7381
Fax
Business Location
1115 CORNELL ST
SCRANTON PA, 18504-3008, US
Phone (570) 346-7381
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Pennsylvania
License Number OCC004402L
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According to our database, Mr. Jeffrey Paul Iacavazzi OTR NPI is 1376669846, taxonomy code is 225X00000X and license number is OCC004402L, license state is located at Pennsylvania. Jeffrey Paul Iacavazzi OTR physically located at 1115 Cornell St, Scranton PA, 18504-3008. NPI Number Jeffrey Paul Iacavazzi OTR has the Individual type.

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1376669846 NPI number is provided on an as is basis without warranty of any kind. 1376669846 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey Paul Iacavazzi OTR are for informational purposes only.