Individual
AMANDA CATHERINE ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1356 CREASE ST, PHILADELPHIA, PA 19125-3220
(570) 847-8501
Mailing address
1356 CREASE ST, PHILADELPHIA, PA 19125-3220
(570) 847-8501
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC021027
PA
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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