Individual
MISS ALISSA LYNNE MATECHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
956 E RAILROAD AVE, BRYN MAWR, PA 19010-3831
(610) 525-8412
(610) 527-4236
Mailing address
24 ELIAS RD, SPRING BROOK TOWNSHIP, PA 18444-6238
(570) 842-9436
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP005973
PA
Other
Enumeration date
01/05/2010
Last updated
01/05/2010
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