Individual
GENNA MARIE WALLERSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2024 SPRING GARDEN ST, UNIT 2, PHILADELPHIA, PA 19130-3878
(908) 930-2893
Mailing address
2024 SPRING GARDEN ST, UNIT 2, PHILADELPHIA, PA 19130-3878
(908) 930-2893
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC013617
PA
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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