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Individual

AMY FAUST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1040 BERK RD, LEESPORT, PA 19533-8700
(610) 376-7614
Mailing address
18 MEADOW HILL DR, BERNVILLE, PA 19506

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary

Other

Enumeration date
12/11/2017
Last updated
12/11/2017
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