Junior Formukong Mbipeh, COTA/L
NPI #1144975178 in Newtown Square, Pennsylvania
Provider Information
- NPI Number
- 1144975178
- Entity Type
- Individual
- Name
- Junior Formukong Mbipeh, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Feb 17, 2022
- Last Updated
- Apr 30, 2024
Practice Location
- Address
- 3500 W CHESTER PIKE
- City
- Newtown Square
- State
- Pennsylvania
- ZIP Code
- 19073-4101
- Phone
- (610) 359-4400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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