Individual
BEVERLY PROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2609 BILMAR RD, READING, PA 19604-1002
(610) 763-5182
Mailing address
2609 BILMAR RD, READING, PA 19604-1002
(610) 763-5182
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP001660L
PA
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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