Individual
BRIANNA FECONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L, CSRS
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-4000
Mailing address
103 EBENEZER AVE, BALA CYNWYD, PA 19004-1804
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
PA
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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