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Organization
THERAPY AND COUNSELING SERVICES
Active
Organization
THERAPY AND COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA GIBSON MS, OTR/L (CLINICAL DIRECTOR)
(717) 761-4754
Entity
Organization
Contact information
Practice address
115 S SAINT JOHNS DR, CAMP HILL, PA 17011-4147
(717) 761-4754
Mailing address
115 S SAINT JOHNS DR, CAMP HILL, PA 17011-4147
(717) 761-4754
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037051190001
—
PA
Enumeration date
09/07/2019
Last updated
08/05/2026
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