Individual
MS. LENORE JANEL NUGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,OTRL
Contact information
Practice address
7931 PROVIDENT RD, PHILADELPHIA, PA 19150-1324
(215) 549-0387
Mailing address
7931 PROVIDENT RD, PHILADELPHIA, PA 19150-1324
(215) 549-0387
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC006922L
PA
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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