Individual
MADHURA DAMLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T
Contact information
Practice address
54 LONGVIEW CIR, BERWYN, PA 19312-2501
(201) 805-1874
Mailing address
54 LONGVIEW CIR, BERWYN, PA 19312-2501
(201) 805-1874
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC011788
PA
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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