Individual
MS. KIESHA ANITA ABNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
CHAPEL MANOR (GENESIS REHABILITATION) 1104 WELSH ROAD, PHILADELPHIA, PA 19115
(215) 676-9191
Mailing address
6924 ROOSEVELT BLVD, PHILADELPHIA, PA 19149-1935
(215) 454-9904
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP009406
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224Z00000X
—
PA
Enumeration date
07/18/2018
Last updated
07/18/2018
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