Individual
PARIS TRENT MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1194 NAAMANS CREEK RD, GARNET VALLEY, PA 19060-1615
(610) 558-7840
Mailing address
8723 W CHESTER PIKE APT F9, UPPER DARBY, PA 19082-1117
(215) 253-0186
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TOP009272
PA
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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