Individual
MADELINE KOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1310 ROUTE 209 STE 103, GILBERT, PA 18331-7751
(610) 951-4330
Mailing address
650 FOREST DR, PALMERTON, PA 18071-5220
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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