Organization
SUPPLEMENTAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY ANN MCCARTHY (OCCUPATIONAL THERAPIST)
(215) 671-1925
Entity
Organization
Contact information
Practice address
321 NORRISTOWN RD, 220, AMBLER, PA 19002-2755
(866) 736-9654
Mailing address
8600 VERREE RD, PHILADELPHIA, PA 19115-4118
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
OC010078
PA
Other
Enumeration date
05/08/2007
Last updated
08/22/2020
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