Individual
KATELIN ELIZABETH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
15900 US-6, TROY, PA 16947
(570) 297-4111
Mailing address
308 SENECA DR, SALLADASBURG, PA 17740-7351
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008924
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP008924
COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE BUREAU OF PROFESSIONAL AFFAIRS
PA
Enumeration date
12/31/2018
Last updated
10/21/2019
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