Individual
STAR DECELLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, STE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
PO BOX 721, STERLING, MA 01564-0721
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
630
MA
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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