Individual
MARY DANIELLE WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1194 NAAMANS CREEK RD, BOOTHWYN, PA 19061-1615
(610) 558-7840
Mailing address
3 JAMES HAYWARD RD, GLEN MILLS, PA 19342-1239
(610) 361-8348
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP002175L
PA
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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