Individual
AMMIE DAVIDHEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
724 DELAWARE AVE, FOUNTAIN HILL, PA 18015-1108
(610) 691-6700
Mailing address
724 DELAWARE AVE, FOUNTAIN HILL, PA 18015-1108
(610) 691-6700
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TOP008478
PA
Other
Enumeration date
06/11/2012
Last updated
05/07/2013
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