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Individual

JULIET MAE HABERBUSCH

Active
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Individual

JULIET MAE HABERBUSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOTRL

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC009882
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101434590 0001
PA
Enumeration date
04/12/2007
Last updated
07/09/2007
Update your record

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