Individual
MISS KATHY JOANNE STANISLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
3485 DAVISVILLE RD, HATBORO, PA 19040-4220
(215) 830-0400
Mailing address
21 S HELLERTOWN AVE APT 2, QUAKERTOWN, PA 18951-1771
(610) 737-7481
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP002941L
PA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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