Individual
AMIYAH MONIQUE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 CREE DR, LOCK HAVEN, PA 17745-2639
(570) 748-9377
Mailing address
201 WINDING KNOLL RD, ALTOONA, PA 16601-4313
(574) 606-4449
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
PA
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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