Individual
JULIE ROSE KRECKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1526 LOMBARD ST, PHILADELPHIA, PA 19146-1625
(215) 734-3861
Mailing address
614 EMERSON ST, PHILADELPHIA, PA 19111-1937
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC016169
PA
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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