Individual
MRS. MARY KATHLEEN FISHER-AMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
201 MAIN ST., GREEN LANE, PA 18054
(484) 941-4663
Mailing address
201 MAIN ST., P.O. BOX 604, GREEN LANE, PA 18054
(484) 941-4663
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OC002195L
PA
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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