Individual
JULIE ELIZABETH FIRESTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1135 OLDE W CHOCOLATE AVE, HUMMELSTOWN, PA 17036-9188
(717) 833-5300
Mailing address
23 2ND AVE, POTTSVILLE, PA 17901-9021
(570) 573-5706
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC016365
PA
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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