Individual
BRENDA LEE HAMERSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
368 TIOGA AVE, KINGSTON, PA 18704-5117
(570) 287-9681
Mailing address
396 SCHUYLER AVE, KINGSTON, PA 18704-2728
(570) 287-6142
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OP005905
PA
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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