Individual
KIMBERLY SCOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3075 RIDGE PIKE, EAGLEVILLE, PA 19403
(610) 265-4700
Mailing address
821 KENDRICK ST, PHILA, PA 19111-1340
(215) 342-8109
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC008478
PA
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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