Most Relevant Information
Provider Data
| NPI Number: | 1003658717 |
| Provider Name: | AMANDA COLELLA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | OP010386 |
Most Important Dates
| Enumeration Date: | 06/12/2024 |
| Last Updated: | 06/12/2024 |
Provider Practice Location
920 GERMANTOWN PIKE STE 103
PLYMOUTH MEETING
PA
194627401
Practice Location Phone/Fax
| Phone: | 4843708950 |
| Fax: |
Provider Mailing Location
920 GERMANTOWN PIKE STE 103
PLYMOUTH MEETING
PA
194627401
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |