Individual
MR. JOHN EDWARD DELUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1100 RHAWN ST, PHILADELPHIA, PA 19111-2636
(215) 292-3046
Mailing address
303 PAXSON AVE, GLENSIDE, PA 19038-4613
(215) 292-3046
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC003210L
PA
Other
Enumeration date
02/25/2008
Last updated
02/17/2020
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