Individual
MARIA KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8100 WASHINGTON LN, WYNCOTE, PA 19095-1600
(215) 576-8000
Mailing address
8541 TOLBUT ST, PHILADELPHIA, PA 19152-1210
(215) 776-4708
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008901
PA
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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