Individual
PHYLLIS OSISEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 W MAIN ST, TRAPPE, PA 19426-2062
(610) 409-0820
Mailing address
PO BOX 26098, COLLEGEVILLE, PA 19426-0098
(610) 409-0820
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000133
PA
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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