Individual
MARTIKA A PHOENIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3925 NANCY LN, COLLEGEVILLE, PA 19426-3011
(484) 682-7788
Mailing address
3925 NANCY LN, COLLEGEVILLE, PA 19426-3011
(484) 682-7788
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA100000324
DC
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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