Provider Demographics
NPI:1417554809
Name:DUCH, FELICIA LENORE (OTR/L)
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:LENORE
Last Name:DUCH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 CONESTOGA DR APT 181
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-1244
Mailing Address - Country:US
Mailing Address - Phone:609-306-2857
Mailing Address - Fax:
Practice Address - Street 1:94 RICHBORO RD BLDG 2
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1538
Practice Address - Country:US
Practice Address - Phone:215-968-1094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00940400225X00000X
PAOC017065225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist