Individual
SUZANNE CORNISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3000 BALFOUR CIR, PHOENIXVILLE, PA 19460-2144
(484) 920-6212
(610) 933-5603
Mailing address
222 BRANDYWINE RD, COLLEGEVILLE, PA 19426-1704
(610) 454-9718
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP002769L
PA
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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