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Malibu Neely, COTA

Occupational Therapy Assistant in Plymouth Meeting, PA. Individual provider (NPI-1).

NPI number1124239983
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1124239983
Entity type
Individual (NPI-1)
Name
Malibu Neely
Credential
COTA
Sex
Female
Sole proprietor
Yes
Enumeration date
May 24, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant32001176AINYes

Practice location

2250 Hickory Rd
Suite 240
Plymouth Meeting, PA 19462-1047

Phone 610-834-1122

Mailing address

12559 Bentley Blvd
Fishers, IN 46038-1223

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