Individual
MRS. CHERI MACKNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 HIGH ST, PINE GROVE, PA 17963-1007
(570) 345-3721
Mailing address
11 HIGH ST, PINE GROVE, PA 17963-1007
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007117
PA
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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