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Individual

KATELYN R FENTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
46A WATER ST, LEBANON, NJ 08833-4527
(908) 752-5053
Mailing address
46A WATER ST, LEBANON, NJ 08833-4527
(908) 752-5053

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09257100
NJ

Other

Enumeration date
11/21/2025
Last updated
11/21/2025
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