Individual
KAITLIN FAULCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 BERKS ROAD, LEESPORT, PA 19533-8705
(610) 376-4841
Mailing address
1011 BERK RD, LEESPORT, PA 19533-8705
(610) 376-4841
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC019931
PA
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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