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Individual

JUSTINE DE LA FUENTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1925 W TURNER ST, ALLENTOWN, PA 18104-5513
(610) 794-5204
Mailing address
3116 W CEDAR ST, ALLENTOWN, PA 18104-3809
(610) 739-0166

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
05/04/2023
Last updated
05/04/2023
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