Individual
MISS KATRICE LASHELLE WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
45 S MONTGOMERY AVE, EAGLEVILLE, PA 19403-3325
(610) 564-4912
Mailing address
45 S MONTGOMERY AVE, EAGLEVILLE, PA 19403-3325
(610) 564-4942
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC008497
PA
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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