Individual
KRISTINA EBBECKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
301 E CITY LINE AVE, SUITE 300, BALA CYNWYD, PA 19004-1708
(800) 590-2691
(800) 590-2706
Mailing address
424 SEVILLE ST, 1ST FLOOR FRONT, PHILADELPHIA, PA 19128-3600
(631) 365-4553
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC011194
PA
Other
Enumeration date
08/08/2010
Last updated
08/08/2010
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