Individual
KIMBERLY LYNN EMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L CLT
Contact information
Practice address
1547 DICKENS ST, SCRANTON, PA 18504-1209
(570) 499-4157
Mailing address
1547 DICKENS ST, SCRANTON, PA 18504-1209
(570) 499-4157
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC006716L
PA
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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