Individual
AUGEST DERENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3477 CORPORATE PKWY STE 100, CENTER VALLEY, PA 18034-8237
(267) 347-4028
Mailing address
3477 CORPORATE PKWY STE 100, CENTER VALLEY, PA 18034-8237
(267) 347-4028
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC015370
PA
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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