Individual
KATHLEEN MARY MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED., OTR/L
Contact information
Practice address
1930 S BROAD ST, PHILADELPHIA, PA 19145-2328
(215) 432-8488
Mailing address
6426 WOODBINE AVENUE, PHILADELPHIA, PA 19151
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC005806L
PA
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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