Individual
MRS. AMANDA LYNN BORICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
401 PENN AVE, SCRANTON, PA 18503-1213
(570) 961-4300
Mailing address
401 PENN AVE, SCRANTON, PA 18503-1213
(570) 961-4300
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
OC012385
PA
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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