Individual
METILDE M SCOCCIA-DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 E BOOT RD, WEST CHESTER, PA 19380-6001
(484) 653-4400
Mailing address
411 SAINT DAVIDS AVE, WAYNE, PA 19087-4204
(484) 367-7925
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007561
PA
Other
Enumeration date
06/16/2013
Last updated
06/16/2013
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