Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Khutso Annah Modiba, BACHELOR

Individual provider Physical Rehabilitation Occupational Therapist · NPI 1366289209

Khutso Annah Modiba, BACHELOR is a Physical Rehabilitation Occupational Therapist in York, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2024.

Licensed in
PA
In the registry since
2024

Practice location Address checks out

2400 Kingston Ct
York, PA 17402-3650
Phone: (813) 776-2504
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Rehabilitation Occupational Therapist (primary) Taxonomy 225XP0019X · Licence 0C009705 (PA)

Record details

NPI number1366289209
Entity typeIndividual (Type 1)
GenderFemale
Credentials BACHELOR
Sole proprietorNo
NPI enumeratedJuly 9, 2024
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024

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