Individual
KIMBERLY ANNE SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
80 HARTWICKE DR, QUARRYVILLE, PA 17566-9796
(717) 806-7428
Mailing address
80 HARTWICKE DR, QUARRYVILLE, PA 17566-9796
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC004790L
PA
Other
Enumeration date
12/22/2010
Last updated
12/22/2010
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