Individual
MEGAN KUMMERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 814-1000
Mailing address
1420 ANN LN, MECHANICSBURG, PA 17055-5233
(484) 788-5015
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC016729
PA
Other
Enumeration date
11/22/2020
Last updated
09/14/2023
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