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Individual

CHARNAE CARRUTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSOT, OTR/L

Contact information

Practice address
7631 ELMWOOD AVE, PHILADELPHIA, PA 19153-1333
(267) 752-3500
Mailing address
7631 ELMWOOD AVE, PHILADELPHIA, PA 19153-1333

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC019734
PA

Other

Enumeration date
11/07/2024
Last updated
11/11/2024
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