Individual
CHARLOTTE CORNOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3009 CHURCH RD, LAFAYETTE HILL, PA 19444-1707
(215) 833-2155
Mailing address
3009 CHURCH RD, LAFAYETTE HILL, PA 19444-1707
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17816
CA
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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