Individual
MRS. AIMEE ELIZABETH KETCHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR.L, CNMI
Contact information
Practice address
1170 ERBS QUARRY RD STE 1, LITITZ, PA 17543-9767
(717) 537-9131
(717) 803-4038
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC004445L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019660090008
—
PA
Enumeration date
07/08/2007
Last updated
02/28/2019
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