Organization
CAPABLE TABLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY KING OTR/L (PARTNER)
(412) 378-3140
Entity
Organization
Contact information
Practice address
245 S SAINT BERNARD ST, PHILADELPHIA, PA 19139-4239
(412) 378-3140
Mailing address
245 S SAINT BERNARD ST, PHILADELPHIA, PA 19139-4239
(412) 378-3140
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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