Individual
MARY K WEIRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 444-6350
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006630
PA
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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