Individual
ELLEN PERREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
KENCREST SERVICES, 502 W GERMANTOWN PIKE, SUITE 200, PLYMOUTH MEETING, PA 19462
(610) 825-9360
(610) 825-2414
Mailing address
KENCREST SERVICES, 502 W GERMANTOWN PIKE, SUITE 200, PLYMOUTH MEETING, PA 19462
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC009647
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015007850001
MA
PA
Enumeration date
04/17/2007
Last updated
07/08/2007
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