Individual
MRS. DELORES B. IACOVONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
(215) 823-4207
Mailing address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC005024L
PA
Other
Enumeration date
08/30/2006
Last updated
07/07/2009
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