Individual
JAID D MARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2473 GRANT AVE, PHILADELPHIA, PA 19114-1004
(445) 300-7220
Mailing address
137 STONE HILL DR, POTTSTOWN, PA 19464-7500
(610) 945-8497
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC019136
PA
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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