Individual
REBECCA LYNN MCKERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
394 SOLLICKS RD, TOWANDA, PA 18848-9790
(570) 637-6392
Mailing address
394 SOLLICKS RD, TOWANDA, PA 18848-9790
(570) 637-6392
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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