Individual
MARY E KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
349 HAWTHORNE DR, DENVER, PA 17517-1720
(717) 336-2829
Mailing address
349 HAWTHORNE DR, DENVER, PA 17517-1720
(717) 336-2829
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC001611L
PA
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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