Individual
JOSHUA RYAN FIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2223 WHARTON STREET, PHILADELPHIA, PA 19146
(570) 898-7587
Mailing address
2223 WHARTON ST, PHILADELPHIA, PA 19146-4230
(570) 898-7587
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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