Individual
MRS. SORA SIMBLIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 TIVERTON RD, MECHANICSBURG, PA 17050-7699
(717) 379-4543
Mailing address
200 N CARLISLE ST, NEW BLOOMFIELD, PA 17068-9711
(717) 386-9306
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC017573
PA
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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