Most Relevant Information
Provider Data
| NPI Number: | 1003505561 |
| Provider Name: | TODD POPE |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/02/2023 |
| Last Updated: | 05/02/2023 |
Provider Practice Location
615 WYOMING AVE
KINGSTON
PA
18704
Practice Location Phone/Fax
| Phone: | 5702885496 |
| Fax: |
Provider Mailing Location
1594 THE HIDEOUT
LAKE ARIEL
PA
18436
Provider Mailing Phone/Fax
| Phone: | 5704704687 |
| Fax: |