Individual
CHRISTINE DEOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
650 EDISON AVE, PHILADELPHIA, PA 19116-1237
(215) 673-5700
Mailing address
5127 MALLARD DR, BENSALEM, PA 19020-3944
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008608
PA
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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