Individual
MISS BRIANNE ALYSSA MAYHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
62 CRIMSON LN, ELIZABETHTOWN, PA 17022-8700
(717) 475-9802
Mailing address
62 CRIMSON LN, ELIZABETHTOWN, PA 17022-8700
(717) 475-9802
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC008921
PA
Other
Enumeration date
12/30/2010
Last updated
12/30/2010
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