Individual
MARC BROG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1264 METTLER RD, HUNTINGDON VALLEY, PA 19006-2716
(215) 350-8637
(215) 947-6202
Mailing address
1264 METTLER RD, HUNTINGDON VALLEY, PA 19006-2716
(215) 350-8637
(215) 947-6202
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC-004998-L
PA
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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