Individual
AMANDA MARIE POPOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1326 CHESTNUT ST, PHILADELPHIA, PA 19107-4525
(888) 701-3131
Mailing address
850 TOWBIN AVE, LAKEWOOD, NJ 08701-5928
(833) 599-2560
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC019045
PR
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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