Individual
GENARO DALESSANDRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 W SCHOOL HOUSE LN, PHILADELPHIA, PA 19144-3348
(215) 452-5049
Mailing address
1948 DURFOR ST, PHILADELPHIA, PA 19145-3611
(215) 755-0895
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
46TR00820500
NJ
225X00000X
Occupational Therapist
Primary
OC015577
PA
Other
Enumeration date
03/10/2019
Last updated
04/27/2020
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