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1619635455
KIRSTIN IKEDA
PHILADELPHIA, PA
NPI
1619635455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
Enumeration Date
2021-11-29
Last Update Date
2021-11-29
Business Address
KIRSTIN IKEDA MS OTR/L
3502 SCOTTS LN
PHILADELPHIA, PA 19129-1561
Phone number: 410-430-0237
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Mailing Address
KIRSTIN IKEDA MS OTR/L
1010 REMINGTON RD
WYNNEWOOD, PA 19096-2326
Phone number: 410-430-0237
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