Individual
CHARLOTTE CORCELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8100 WASHINGTON LN, WYNCOTE, PA 19095-1600
(215) 576-8000
Mailing address
3855 BLAIR MILL RD APT 201-0, HORSHAM, PA 19044-2998
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TOP008940
PA
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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