Individual
MS. ALEXANDRIA CELESTE SUYDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-4000
Mailing address
993 W BALTIMORE PIKE, KENNETT SQUARE, PA 19348-4213
(610) 724-3310
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC018668
PA
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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