Individual
KRISTEN VICTORIA PREMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DROT, OTR/L
Contact information
Practice address
475 SPRING LN, PHILADELPHIA, PA 19128-3918
(215) 482-5353
Mailing address
100 LINDIS FARNE AVE, #1103, HADDON TOWNSHIP, NJ 08108-2700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC01
PA
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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