Individual
KATHERINE SESTRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
849 YORK ST, HANOVER, PA 17331-3435
(717) 630-0396
Mailing address
849 YORK ST, HANOVER, PA 17331-3435
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225A00000X
Music Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1022391420001
MEDICAL ASSISTANCE
PA
Enumeration date
02/23/2009
Last updated
06/23/2013
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