MS. Kimberly Anne Mattox, OTR/L

NPI #1104079045 in Jersey Shore, Pennsylvania

Provider Information

NPI Number: 1104079045
Entity Type: Individual
Name: MS. Kimberly Anne Mattox, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Oct 23, 2008
Last Updated: Oct 23, 2008

Practice Location

Address: 1008 THOMPSON ST
City: Jersey Shore
State: Pennsylvania
ZIP Code: 17740-1729
Phone: (570) 398-4747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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