Individual
AMBER KOLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1526 LOMBARD ST, PHILADELPHIA, PA 19146-1625
(215) 546-5960
Mailing address
201 S 13TH ST, 212, PHILADELPHIA, PA 19107-5463
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008308
PA
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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