Individual
CHRISTINE MARGARET DEVORE-CRADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(610) 658-5100
Mailing address
1119 TAYLOR DR, FOLCROFT, PA 19032-1623
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008477
PA
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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