Provider Demographics
NPI:1043354392
Name:KROMER, AMY B
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:B
Last Name:KROMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 WHISPERING HILLS CT
Mailing Address - Street 2:
Mailing Address - City:EFFORT
Mailing Address - State:PA
Mailing Address - Zip Code:18330-8719
Mailing Address - Country:US
Mailing Address - Phone:570-629-2271
Mailing Address - Fax:570-424-2346
Practice Address - Street 1:18 WHISPERING HILLS CT
Practice Address - Street 2:
Practice Address - City:EFFORT
Practice Address - State:PA
Practice Address - Zip Code:18330-8719
Practice Address - Country:US
Practice Address - Phone:570-629-2271
Practice Address - Fax:570-424-2346
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC-008368225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist