Individual
MRS. CECELIA LINDA KUNKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
2009 ROSEBANK WAY, HAGERSTOWN, MD 21742
(240) 420-1857
Mailing address
902 W KING ST, MARTINSBURG, WV 25401-2219
(304) 264-0449
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A00307
MD
224Z00000X
Occupational Therapy Assistant
C1461
WV
Other
Enumeration date
04/10/2007
Last updated
10/29/2010
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