Healthcare Provider Details

I. General information

NPI: 1881422467
Provider Name (Legal Business Name): ABBIGAIL LERAE KIRSCH MOT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2024
Last Update Date: 07/24/2024
Certification Date: 07/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 S GEORGE ST
YORK PA
17403-3638
US

IV. Provider business mailing address

366 EQUUS DR
CAMP HILL PA
17011-8357
US

V. Phone/Fax

Practice location:
  • Phone: 717-843-9866
  • Fax:
Mailing address:
  • Phone: 717-265-3622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: