Individual
ABU PANACKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2250 HICKORY ROAD, SUITE 240, PLYMOUTH, PA 19462
(610) 834-1122
Mailing address
2555 WELSH RD, APT # 425, PHILADELPHIA, PA 19114-3223
(215) 464-4562
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OC006954L
PA
Other
Enumeration date
04/01/2010
Last updated
04/02/2010
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