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Individual

MIRANDA KELLENBERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
255 N 29TH ST, CAMP HILL, PA 17011-2910
(717) 395-8848
Mailing address
PO BOX 104, LANDISBURG, PA 17040-0104

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC014715
PA
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
OC014715
PA
225XP0200X
Pediatric Occupational Therapist
Primary
OC014715
PA

Other

Enumeration date
08/04/2017
Last updated
08/04/2017
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