Individual
AMY MARIE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
1 ICE HOUSE ROAD, POCONO LAKE PRESERVE, PA 18348
(570) 643-0149
Mailing address
1 ICE HOUSE ROAD, POCONO LAKE PRESERVE, PA 18348
(570) 643-0149
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC001354L
PA
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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