Individual
KAITLYN BROSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2791 S QUEEN ST, DALLASTOWN, PA 17313-9540
(717) 741-4788
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003742
PA
Other
Enumeration date
11/06/2020
Last updated
07/26/2021
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