Individual
GIANCARLO PHILIP MORREALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1400 WAVERLY RD, GLADWYNE, PA 19035-1296
(610) 645-8600
Mailing address
528 BRIDGE ST, MONT CLARE, PA 19453-5006
(914) 826-7538
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC017715
PA
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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