Individual
AMANDA BETH DERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.O.T.
Contact information
Practice address
3075 RIDGE PIKE, EAGLEVILLE, PA 19403-1538
(215) 361-1906
Mailing address
330 E MOYER RD, POTTSTOWN, PA 19464-1202
(610) 323-2781
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC011149
PA
Other
Enumeration date
06/22/2009
Last updated
08/24/2009
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