Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Apr 30, 2014
License(s)
PT022169 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2127 RHAWN ST | Philadelphia, PA 19152-3216 | 215-742-8099 |
| LOCATION | 2127 RHAWN ST | Philadelphia, PA 19152-3216 | 215-742-8099 |
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