Individual
ANITA TRASK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 GREEVES ST, KANE, PA 16735-1519
(814) 596-6153
Mailing address
501 GREEVES ST, KANE, PA 16735-1519
(814) 596-6153
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006728
PA
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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