Individual
MS. KAITLYN NEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
224 NORTHBROOK DR, MEDIA, PA 19063-5124
(484) 620-4511
Mailing address
224 NORTHBROOK DR, MEDIA, PA 19063-5124
(484) 620-4511
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0P007821
PA
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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