Individual
DEBRA WENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
700 HIGH ST, WILLIAMSPORT, PA 17701-3100
(570) 321-2605
(570) 321-2605
Mailing address
700 HIGH ST, WILLIAMSPORT, PA 17701-3100
(570) 321-2605
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OP002656L
PA
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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