Individual
MS. DEBRAH JANESE KLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTRL
Contact information
Practice address
920 SOUTH FARRAGUT STREET, PHILADELPHIA, PA 19143-3607
(215) 222-7964
Mailing address
920 SOUTH FARRAGUT ST, PHILA, PA 19143-3687
(215) 222-3143
(215) 222-7964
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC000304L
PA
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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