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Individual

TEENA MARIAM MATHEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSOT, OTR/L

Contact information

Practice address
1920 SWARTHMORE AVE STE 5, LAKEWOOD, NJ 08701-4780
(215) 839-6144
Mailing address
1100 CHANDLER ST, PHILADELPHIA, PA 19111-2613
(267) 423-0875

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC020647
PA

Other

Enumeration date
03/21/2025
Last updated
03/21/2025
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