Individual
KIMBERLY ANNE KONNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1003 WYOMING AVE, KINGSTON, PA 18704-4002
(570) 846-0455
Mailing address
1003 WYOMING AVE, KINGSTON, PA 18704-4002
(570) 846-0455
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC019113
PA
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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