Individual
JANICE LYNN MCGOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
201 HASTINGS AVE, WALLINGFORD, PA 19086-7035
(610) 876-2351
Mailing address
201 HASTINGS AVE, WALLINGFORD, PA 19086-7035
(610) 876-2351
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP002373L
PA
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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