Individual
HELEN VADALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3200 CONCORD RD, ASTON, PA 19014-1931
(610) 416-9556
Mailing address
3200 CONCORD RD, ASTON, PA 19014-1931
(610) 416-9556
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC002119L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016188100001
MA/PROMIS
PA
Enumeration date
11/07/2007
Last updated
11/07/2007
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