Individual
KAITLYNN EWING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E CITY LINE AVE STE 110, BALA CYNWYD, PA 19004-1738
(610) 753-4946
Mailing address
138 N ROLLING RD, SPRINGFIELD, PA 19064-1413
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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