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Individual

MS. SHANNON ABERCROMBIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
330 TERRACE BLVD, LEWISTOWN, PA 17044-2423
(570) 971-0080
Mailing address
330 TERRACE BLVD, LEWISTOWN, PA 17044-2423
(570) 971-0080

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
3811
MA
224Z00000X
Occupational Therapy Assistant
Primary
OP007763
PA
224Z00000X
Occupational Therapy Assistant
OTA.0000765
CO

Other

Enumeration date
08/04/2016
Last updated
08/04/2016
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