Individual
FAWN FIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
125 HOLLY RD, HAMBURG, PA 19526-8729
(610) 562-2284
Mailing address
125 HOLLY RD, HAMBURG, PA 19526-8729
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP010436
PA
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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