Diana Migliaccio

Individual provider Active NPI Occupational Therapy Assistant · Gilbertsville, PA

NPI 1124654637 · NPPES record last updated Mar 16, 2020

Key facts

NPI
1124654637
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OP009717 (PA)
Practice address
2504 Rhoads Rd
Gilbertsville, PA 19525-9174
Phone
(484) 614-8844
NPI assigned
Mar 16, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OP009717PAMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OP009717 PA Yes

Addresses

Primary practice location

2504 Rhoads Rd
Gilbertsville, PA 19525-9174

Mailing address

2504 Rhoads Rd
Gilbertsville, PA 19525-9174
Phone (484) 614-8844

Other providers in Gilbertsville, PA

All providers in Gilbertsville, PA · Occupational Therapy Assistant in Pennsylvania

Sources for this page

Verify at the official NPI Registry.