Individual
AMY GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 LOCUST RD, FORT WASHINGTON, PA 19034-1427
(215) 809-9524
Mailing address
303 LOCUST RD, FORT WASHINGTON, PA 19034-1427
(215) 809-9524
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC006118L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC006118L
PA STATE LICENSE
PA
Enumeration date
05/09/2016
Last updated
05/09/2016
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