Individual
MRS. ANTOINETTE MAZOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
600 W VALLEY FORGE RD, KING OF PRUSSIA, PA 19406-1571
(610) 337-1775
Mailing address
1520 WAYNESBOROUGH RD, PAOLI, PA 19301-2027
(610) 296-5665
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0P001554L
PA
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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