Individual
CASAUNDRA LYNNE DIDOMENICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9 LACRUE AVE STE 103, GLEN MILLS, PA 19342-1062
(484) 840-1529
Mailing address
472 BRINTON LAKE RD, THORNTON, PA 19373-1003
(484) 983-9573
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OP009591
PA
225X00000X
Occupational Therapist
Primary
OC020279
PA
Other
Enumeration date
04/29/2019
Last updated
10/07/2024
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