Individual
TERA CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8300 RIDGE RD, GIRARD, PA 16417-8701
(814) 474-5521
(814) 474-9253
Mailing address
4324 CASSADAGA STOCKTON RD, CASSADAGA, NY 14718-9717
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006522
PA
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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