Individual
MRS. ANGEL MONIQUE BOATWRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
600 S BROAD ST, KENNETT SQUARE, PA 19348-3346
(610) 925-4379
Mailing address
600 S BROAD ST, KENNETT SQUARE, PA 19348-3346
(610) 925-4379
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
04224
OH
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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