Individual
KATHERINE NICOLE FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1343 W BALTIMORE PIKE, MEDIA, PA 19063-5519
(610) 359-3440
Mailing address
426 MCKEAN ST, PHILADELPHIA, PA 19148-2525
(347) 225-6547
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC014736
PA
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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