Individual
FAY ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
793 DONOHOE RD, LATROBE, PA 15650-3526
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC008129
PA
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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