Individual
MRS. DANETTE LYNN MISSMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2597 SCHOENERSVILLE RD, BETHLEHEM, PA 18017-7325
(484) 884-2076
Mailing address
2597 SCHOENERSVILLE RD, BETHLEHEM, PA 18017-7325
(484) 884-2076
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC003998L
PA
225XH1200X
Hand Occupational Therapist
Primary
OC003998L
PA
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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