Benjamin Conrad OTA

NPI 1285986489 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1285986489
Gender Male
Enumeration Date 10/11/2012
Last Updated 10/11/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1526 LOMBARD ST
PHILADELPHIA PA, 19146-1625, US
Phone (215) 546-5960
Fax
Business Location
7808 GRANVILLE RD
PHILADELPHIA PA, 19128-4020, US
Phone (215) 435-1947
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Pennsylvania
License Number TOP008513
Remove 1285986489 NPI Number
 

According to our database, Benjamin Conrad OTA NPI is 1285986489, taxonomy code is 224Z00000X and license number is TOP008513, license state is located at Pennsylvania. Benjamin Conrad OTA physically located at 1526 Lombard St, Philadelphia PA, 19146-1625. NPI Number Benjamin Conrad OTA has the Individual type.

Sponsored links

1285986489 NPI number is provided on an as is basis without warranty of any kind. 1285986489 is maintained by the National Plan & Provider Enumeration System. The contents of Benjamin Conrad OTA are for informational purposes only.