Individual
JOANN INCOLLINGOKIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3296 ROXBURY RD, HATFIELD, PA 19440-4142
(215) 822-7035
Mailing address
3296 ROXBURY RD, HATFIELD, PA 19440-4142
(215) 822-7035
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
OC008120
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019328300003
MEDICAL ASSISTENCE
PA
Enumeration date
05/15/2007
Last updated
07/08/2007
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