Individual
ALLISEN EBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
4880 N SHERMAN STREET EXT, MOUNT WOLF, PA 17347-9637
(717) 266-9294
(717) 384-8071
Mailing address
4880 N SHERMAN STREET EXT, MOUNT WOLF, PA 17347-9637
(717) 266-9294
(717) 384-8071
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC011719
PA
Other
Enumeration date
06/16/2009
Last updated
03/04/2011
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