Individual
EMILY DEATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1006 RIDGEVIEW DR, ORWIGSBURG, PA 17961-2332
(570) 807-6420
Mailing address
131 CONWAY DR, LITITZ, PA 17543-2915
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC012887
PA
225XP0200X
Pediatric Occupational Therapist
Primary
OC012887
PA
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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