FANNY ALICIA ELIZAGA

AMBLER, PA
NPI1861603300
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: PA  OC004557L)
Enumeration Date2007-05-25
Last Update Date2007-07-08
Business Address
-- FANNY ALICIA ELIZAGA
95 COVENTRY LN
AMBLER, PA 19002-2084
Phone number: 215-805-7223
Mailing Address
-- FANNY ALICIA ELIZAGA
95 COVENTRY LN
AMBLER, PA 19002-2084
Phone number: 215-805-7223