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Individual

MS. JACQUELINE MARIE BUSCARINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
3975 CONSHOHOCKEN AVE, PHILADELPHIA, PA 19131-5426
(215) 879-1000
(215) 879-3912
Mailing address
339 STORMFIELD DR, HARLEYSVILLE, PA 19438-2330
(215) 256-1022

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC007243L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0019346010003
PA
Enumeration date
08/06/2007
Last updated
08/06/2007
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