Individual
MAX FENSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
8580 VERREE RD, PHILADELPHIA, PA 19111-1370
(215) 214-2800
Mailing address
531 PHILIP RD, HUNTINGDON VALLEY, PA 19006-2938
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008916
PA
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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