Individual
KIRSTIN IKEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
3502 SCOTTS LN, PHILADELPHIA, PA 19129-1561
(410) 430-0237
Mailing address
1010 REMINGTON RD, WYNNEWOOD, PA 19096-2326
(410) 430-0237
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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