Wyckoff, Pamela Moore

Wyckoff, Pamela Moore is an individual health care provider with primary practice located at 1233 N. 9Th Street , Stroudsburg PA 18360-1172. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Wyckoff, Pamela Moore can be contacted via phone (570) 872-9222.

Contact Information

Primary practice address
1233 N. 9Th Street Stroudsburg PA 18360-1172
Phone: (570) 872-9222
Fax: (570) 424-5664
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OC003029L Pennsylvania

Profile Details

NPI number 1326263997
LBN Legal business name Wyckoff, Pamela Moore
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Jun 12th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326263997 NPPES
Pennsylvania MEDICAID 1017878950001

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