Individual
MRS. KIMBERLY ANN PASSARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3165 S 17TH ST, PHILADELPHIA, PA 19145-5401
(215) 334-6803
Mailing address
3165 S 17TH ST, PHILADELPHIA, PA 19145-5401
(215) 334-6803
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC002110L
PA
Other
Enumeration date
09/07/2008
Last updated
09/07/2008
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