Individual
MRS. CAITLIN ANN GUNNELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
1930 S BROAD ST, PHILADELPHIA, PA 19145-2328
(215) 339-4563
Mailing address
620A WRENSONG RD, YARDLEY, PA 19067-6326
(724) 991-4521
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
55682
PA
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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