Individual
LAUREN SEALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 GILHAM ST, PHILADELPHIA, PA 19111
(215) 697-8000
Mailing address
1403 EASTON RD # 202, ROSLYN, PA 19001-2402
(215) 657-5254
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007609
PA
Other
Enumeration date
07/27/2024
Last updated
07/27/2024
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