Individual
MRS. KIMBERLY ANN FETCHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
429 MANOR DR, EBENSBURG, PA 15931-4917
(814) 471-2109
(814) 471-6902
Mailing address
117 HONEYSUCKLE LN, WINDBER, PA 15963-9116
(814) 467-8103
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC007338L
PA
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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