Individual
SONYA KETTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MASONIC DR, ELIZABETHTOWN, PA 17022-2199
(717) 367-1121
Mailing address
1 MASONIC DR, ELIZABETHTOWN, PA 17022-2199
(717) 367-1121
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP001482L
PA
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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