Individual
KRISTI SHAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
336 S WEST END AVE, LANCASTER, PA 17603-5043
(717) 393-0419
Mailing address
3 FARMINGTON WAY, NEW PROVIDENCE, PA 17560-9428
(717) 823-3029
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP009859
PA
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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