Individual
FREWINE OGBASELASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
701 E CATHEDRAL RD STE 45, 421, PHILADELPHIA, PA 19128
(267) 972-3210
Mailing address
2706 S 73RD ST, PHILADELPHIA, PA 19153-2311
(267) 972-3210
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL017704
PA
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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