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1508181934
KIMBERLY NICOLE TANISH
YORK, PA
NPI
1508181934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: PA oc011101)
Enumeration Date
2010-03-29
Last Update Date
2010-03-29
Business Address
-- KIMBERLY NICOLE TANISH OTR/L
200 PAULINE DR
YORK, PA 17402-4625
Phone number: 717-741-0824
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Mailing Address
-- KIMBERLY NICOLE TANISH OTR/L
455A BUTTONWOOD LN
YORK, PA 17406-9060
Phone number: 814-659-8809
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