Individual
MARY ELLEN BUDANIW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1137 CHESWORTH RD, PHILADELPHIA, PA 19115-2024
(215) 673-6230
Mailing address
1137 CHESWORTH RD, PHILADELPHIA, PA 19115-2024
(215) 673-6230
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP003514L
PA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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