Individual
JUNE P VILLECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
834 CHESTNUT ST, SUITE G114, PHILADELPHIA, PA 19107-5127
(610) 768-5940
(610) 768-5947
Mailing address
834 CHESTNUT ST, SUITE G114, PHILADELPHIA, PA 19107-5127
(610) 768-5940
(610) 768-5947
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC000583L
PA
225XH1200X
Hand Occupational Therapist
Primary
OC000583L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2833062000
IBC - KEYSTONE
PA
Enumeration date
05/18/2007
Last updated
08/23/2007
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