Individual
KATE BREANNE DILTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3502 SCOTTS LN, PHILADELPHIA, PA 19129-1561
(570) 317-6221
Mailing address
5440 RIDGE AVE APT 1, PHILADELPHIA, PA 19128-3732
(570) 317-6221
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC16568
PA
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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