Individual
ALEX CIVIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8580 VERREE RD, PHILADELPHIA, PA 19111-1370
(215) 214-2800
Mailing address
685 RIVER AVE, LAKEWOOD, NJ 08701-5288
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
07597
MD
225X00000X
Occupational Therapist
Primary
OC015681
PA
Other
Enumeration date
03/06/2017
Last updated
11/09/2018
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