Individual
MADELINE CHURICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
501 THOMAS JONES WAY, EXTON, PA 19341-2531
(484) 873-3700
Mailing address
354 ABERDEEN AVE, EXTON, PA 19341-2769
(570) 581-6259
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP009630
PA
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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