Individual
JENNIFER A KWIECINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
164 FOUNTAIN ST, PHILADELPHIA, PA 19127-1924
(215) 508-0916
Mailing address
164 FOUNTAIN ST, PHILADELPHIA, PA 19127-1924
(215) 508-0916
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC010718
PA
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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