Simon Wise, COTA

NPI #1083170062 in Flourtown, Pennsylvania

Provider Information

NPI Number
1083170062
Entity Type
Individual
Name
Simon Wise, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant - Feeding, Eating & Swallowing
Credential
COTA
Enumeration Date
Feb 14, 2019
Last Updated
Feb 14, 2019

Practice Location

Address
110 W WISSAHICKON AVE
ZIP Code
19031-1802
Phone
(215) 836-4179

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant - Feeding, Eating & SwallowingFeeding, Eating & Swallowing

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