Individual
JULIA FOREBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 316-5151
Mailing address
3400 SPRUCE STREET, DULLES 6TH FLOOR, PHILADELPHIA, PA 19104
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC017671
PA
Other
Enumeration date
09/01/2022
Last updated
11/16/2022
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