Individual
AGNES NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
118 ANNABEL RD, NORTH WALES, PA 19454-4416
(215) 643-3117
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC009280
PA
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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