Individual
CARLY MUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
766 WILLOW ST, POTTSTOWN, PA 19464-4548
(484) 624-7755
Mailing address
766 WILLOW ST, POTTSTOWN, PA 19464-4548
(484) 624-7755
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC015552
PA
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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