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Individual

BROOKE FORRINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1515 WAYNE AVE, INDIANA, PA 15701-4702
(724) 349-5300
Mailing address
208 CHICKASAW RD, TEMPLETON, PA 16259-4014
(814) 952-8391

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006632
PA

Other

Enumeration date
11/10/2020
Last updated
11/19/2020
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