Individual
KEITH A SORG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 WALNUT BOTTOM RD, CARLISLE, PA 17013-3631
(717) 960-7700
Mailing address
700 WALNUT BOTTOM RD, CARLISLE, PA 17013-3631
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006985
PA
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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