Individual
KERRY SWEENEY GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 N BROAD ST, PHILADELPHIA, PA 19123-3230
(215) 923-6031
Mailing address
111 POE CT, NORTH WALES, PA 19454-4431
(215) 622-1553
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
017285
PA
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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