Individual
GEM TIARA CORPIN DADIZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
931 PENN CIR APT B207, KING OF PRUSSIA, PA 19406-1051
(484) 408-2202
Mailing address
931 PENN CIR APT B207, KING OF PRUSSIA, PA 19406-1051
(484) 408-2202
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC013271
PA
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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