Individual
MARIE C CROGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4601 FLAT ROCK ROAD, APT. 514, PHILADELPHIA, PA 19127
(202) 288-3462
Mailing address
4601 FLAT ROCK ROAD, APT. 514, PHILADELPHIA, PA 19127
(202) 288-3462
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC011919
PA
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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