Individual
CARLA RAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 PAPER MILL RD, GLENSIDE, PA 19038-7833
(215) 402-8833
Mailing address
404 N HILLS AVE, GLENSIDE, PA 19038-1204
(267) 474-0088
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP))1682L
PA
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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