Individual
KATIE GEGENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
78 WOODBINE LN, DANVILLE, PA 17821-8020
(570) 275-5240
Mailing address
78 WOODBINE LN, DANVILLE, PA 17821-8020
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP010451
PA
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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