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Individual

MARCIA HERRITAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
28 E MOUNT VERNON PL, APT #3, BALTIMORE, MD 21202
(443) 752-2071

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01466
MD

Other

Enumeration date
04/27/2007
Last updated
07/08/2007
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