Individual
DR. SELENA MARIE JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 PENNSYLVANIA AVE, WAYNE, PA 19087-3516
(610) 687-2488
Mailing address
276 LINDENWOOD DR, EXTON, PA 19341-2175
(215) 378-8594
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC017462
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/17/2014
Last updated
04/17/2024
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