Individual
MR. KENNETH L. DAMCOTT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2301 EDINBORO RD, ERIE, PA 16509-3409
(814) 860-7117
Mailing address
2703 W 25TH ST, ERIE, PA 16506-3013
(814) 323-0173
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC007419L
PA
Other
Enumeration date
12/31/2015
Last updated
04/09/2019
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