Individual
MAKAYLA WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
308 E LANCASTER AVE STE 315, WYNNEWOOD, PA 19096-2150
(215) 275-8710
Mailing address
2200 BENJAMIN FRANKLIN PKWY APT S1605, PHILADELPHIA, PA 19130-3618
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC020967
PA
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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