Individual
KENNETH DUANE SAMPLE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1951 WARM SPRING RD, CHAMBERSBURG, PA 17202-9107
(717) 496-3603
Mailing address
1951 WARM SPRING RD, CHAMBERSBURG, PA 17202-9107
(717) 496-3603
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006262
PA
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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