Individual
AMANDA BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4905 E TRINDLE RD, MECHANICSBURG, PA 17050-3662
(717) 731-9463
Mailing address
4905 E TRINDLE RD, MECHANICSBURG, PA 17050-3662
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC005628L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC005628L
LICENSE
PA
Enumeration date
07/06/2006
Last updated
12/06/2016
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