Individual
LINDA PANNABECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 TULPEHOCKEN RD, WYOMISSING, PA 19610-1240
(610) 478-0402
Mailing address
41 PENNY LN, BERNVILLE, PA 19506-9538
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007911
PA
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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