Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC004555-L | PA |
NPI | 1003056078 |
---|---|
Provider Name | Christopher P Mcfadden |
First Address | Wynnewood, PA 19096-3831 |
Second Address | Morrisville, PA 19067-5008 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2009 |
Last Update Date | 03/03/2009 |