Individual
ELLEN WUEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
113 WELLINGTON DR, MEDIA, PA 19063
(617) 519-3806
Mailing address
113 WELLINGTON DR, MEDIA, PA 19063-1458
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2027
NV
225X00000X
Occupational Therapist
Primary
60854838
WA
225X00000X
Occupational Therapist
OT 17366
FL
Other
Enumeration date
01/25/2016
Last updated
09/18/2018
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