Individual
MRS. KATHLEEN MARIE BRESLINFOULKROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L, B.S.
Contact information
Practice address
4300 TACONY ST, PHILADELPHIA, PA 19124-4134
(215) 743-3100
Mailing address
4300 TACONY ST, PHILADELPHIA, PA 19124-4134
(215) 743-3100
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP001711L
PA
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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