Individual
NICOLE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 AIRPORT ROAD, LAKEWOOD, NJ 08701
(215) 839-6144
Mailing address
4024 HAVERFORD AVE, PHILADELPHIA, PA 19104
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC014100
PA
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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