Individual
GITA MASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
550 STANTON CHRISTIANA RD, SUITE 203, NEWARK, DE 19713-2198
(302) 691-5603
(302) 691-5623
Mailing address
2 W 10TH ST, MARCUS HOOK, PA 19061-4513
(610) 859-8850
(610) 859-7876
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC0020141L
PA
225X00000X
Occupational Therapist
Primary
U10000379
DE
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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