Individual
KATIE ANN BERNECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6375 CHAMBERSBURG RD, FAYETTEVILLE, PA 17222-8350
(717) 352-2721
Mailing address
6375 CHAMBERSBURG RD, FAYETTEVILLE, PA 17222-8350
(717) 352-2721
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OP007297
PA
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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