Nico Italiani
Occupational Therapist in Bangor, PA. Individual provider (NPI-1).
NPI number1427488337
StatusActive
Last updated in NPPESNov 1, 2020
Details
- NPI
- 1427488337
- Entity type
- Individual (NPI-1)
- Name
- Nico Italiani
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 14, 2013
- Certification date
- Nov 1, 2020
- Last updated
- Nov 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OTH-008254 | AZ | Yes |
| 224Z00000X | Occupational Therapy Assistant | OP007243 | PA | |
| 225X00000X | Occupational Therapist | OC017012 | PA |
Practice location
701 Slate Belt BlvdBangor, PA 18013-9341
Phone 610-588-9933 · Fax 610-599-1418
Mailing address
5321 Green Pond RdEaston, PA 18045-2923
Phone 610-216-6199
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Other Occupational Therapist providers in Bangor, PA
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All 9 Occupational Therapist providers in Bangor · All 176 providers in Bangor
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