Individual
MS. LAURA ANN EMBICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1201 RURAL AVE, WILLIAMSPORT, PA 17701-1669
(570) 323-4340
Mailing address
1201 RURAL AVE, WILLIAMSPORT, PA 17701-1669
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OP06661
PA
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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