| Doctor Name: | MR. JOEL HARTLAN DESOTELLE |
| NPI Number: | 1669570883 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS OTR/L |
| License Number: | OC008778 |
| Business Practice Address: | 3583 Scotland Rd Scotland, PA - 172541200 |
| Business Phone Number: | 7174969364 |
| Business Fax Number: | 7174460707 |
| Mailing Address: | Po Box 393, SCOTLAND |
| State: | PA |
| Postal Code: | 172540393 |
| Phone Number: | 7174969364 |
| Fax Number: | 7174460707 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 05/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XN1300X |
| License Number: | OC008778 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Neurorehabilitation |
| Taxonomy Definition: | |