Individual
EMILY WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 E CANAL ST, HERSHEY, PA 17033-2402
(717) 473-4167
Mailing address
421 REXMONT RD, LEBANON, PA 17042-9772
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008754
PA
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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