Individual
ELIZABETH COELI FALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
1911 ARCH ST, PHILADELPHIA, PA 19103-1403
(215) 972-1700
Mailing address
865 N BAMBREY ST, PHILADELPHIA, PA 19130-1824
(267) 909-8757
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC008838
PA
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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