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Individual

SUSAN M DECELLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
19 WOOD LARK DR, MOUNT LAUREL, NJ 08054-3197
(856) 296-0774
Mailing address
19 WOOD LARK DR, MOUNT LAUREL, NJ 08054-3197
(856) 296-0774

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC011028
PA

Other

Enumeration date
02/25/2010
Last updated
02/25/2010
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