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Individual

MARK KAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
4202 PEACH ST, ERIE, PA 16509-1458
(814) 833-2301
(814) 833-9230
Mailing address
4202 PEACH ST, ERIE, PA 16509-1458
(814) 833-2301
(814) 833-9230

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OC008601
PA

Other

Enumeration date
06/04/2012
Last updated
06/04/2012
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