Individual
CHRISTA MACKENZIE CHMIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
915 DELAWARE ST, FOREST CITY, PA 18421-1005
(570) 785-3937
Mailing address
1669 N KEYSER AVE, SCRANTON, PA 18508-1753
(570) 561-9162
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC011796
PA
Other
Enumeration date
03/20/2011
Last updated
03/20/2011
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