Individual
MRS. RUTH ELLEN WALLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
970 COLONIAL AVE, YORK, PA 17403-3430
(717) 845-2661
(717) 845-3101
Mailing address
24 RED BARBERRY DR, ETTERS, PA 17319-9355
(717) 718-5478
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP003432L
PA
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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