Miranda Rose Fortenbaugh
NPI #1033981360 in Carlisle, Pennsylvania
Provider Information
- NPI Number
- 1033981360
- Entity Type
- Individual
- Name
- Miranda Rose Fortenbaugh
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Oct 30, 2023
- Last Updated
- Oct 30, 2023
Practice Location
- Address
- 940 WALNUT BOTTOM RD
- City
- Carlisle
- State
- Pennsylvania
- ZIP Code
- 17015-6926
- Phone
- (717) 249-0085
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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