Individual
HEATHER ASHLEY MEDELLIN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MOUNT ALLEN DR, MECHANICSBURG, PA 17055-6171
(717) 697-4666
Mailing address
90 SARAH DR, DOVER, PA 17315-1667
(717) 329-4784
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008706
PA
Other
Enumeration date
12/31/2017
Last updated
12/31/2017
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