| Timothy Jared Lavelle, ORT/L | |
|
1000 Evergreen Ave, Weatherly, PA 18255-1599 | |
| (570) 427-8683 | |
| Not Available |
| Full Name | Timothy Jared Lavelle |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 1000 Evergreen Ave, Weatherly, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093416851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OC018757 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Jared Lavelle, ORT/L 182 S Meade St, Wilkes Barre, PA 18702-6332 Ph: () - | Timothy Jared Lavelle, ORT/L 1000 Evergreen Ave, Weatherly, PA 18255-1599 Ph: (570) 427-8683 |
Erika Vasconez, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Evergreen Ave, Weatherly, PA 18255 Phone: 570-427-8683 | |
Ms. Eliza Marie Busher, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Evergreen Ave, Weatherly, PA 18255 Phone: 570-427-8683 | |
Mr. Jeffrey Edward Mancuso, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Evergreen Ave, Weatherly, PA 18255 Phone: 570-427-4831 | |
Christine Susan Stahler, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1000 Evergreen Ave, Weatherly, PA 18255 Phone: 570-427-8683 |