Individual
SUE LUCAS SEVERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 SAINT JAMES PL, PAOLI, PA 19301-1029
(610) 647-4909
Mailing address
10 SAINT JAMES PL, PAOLI, PA 19301-1029
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC000870L
PA
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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