Kristen McGee, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Carbondale, PA

NPI 1720767338 · NPPES record last updated Jul 12, 2023

Key facts

NPI
1720767338
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OP009535 (PA)
Practice address
116 Brook St
Carbondale, PA 18407-2141
Phone
(570) 575-5913
NPI assigned
Jul 12, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OP009535PAMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OP009535 PA Yes

Addresses

Primary practice location

116 Brook St
Carbondale, PA 18407-2141

Mailing address

116 Brook St
Carbondale, PA 18407-2141
Phone (570) 575-5913

Other providers in Carbondale, PA

All providers in Carbondale, PA · Occupational Therapy Assistant in Pennsylvania

Sources for this page

Verify at the official NPI Registry.