Individual
COURTNEY WIATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
800 MAPLE AVE, HARLEYSVILLE, PA 19438-1032
(215) 256-9501
Mailing address
1439 SHIRLEY LN, PERKASIE, PA 18944-2868
(215) 760-5974
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008404
PA
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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