Individual
LEAH CHARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
915 MONTGOMERY AVE, PENN VALLEY, PA 19072-1548
(610) 574-2683
Mailing address
29 MERION RD, MERION STATION, PA 19066-1826
(610) 574-2683
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC008523
PA
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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