Individual
KARYL L DIMENICHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1415 ROUTE 70 E, SUITE 103, CHERRY HILL, NJ 08034-2210
(800) 670-3893
Mailing address
113 INDIAN RIDGE LN, TELFORD, PA 18969-2265
(215) 703-0222
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
OP002534L
PA
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
OP002534L
PA
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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