Individual
ANNA JOY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
701 SLATE BELT BLVD, BANGOR, PA 18013-9341
(610) 588-6161
Mailing address
701 SLATE BELT BLVD, BANGOR, PA 18013-9341
(610) 588-6161
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006990
PA
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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