Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Feb 17, 2022
License(s)
PT030136 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2769 GRAVEYARD HILL RD | Harveys Lake, PA 18618-7803 | 267-347-2747 |
| LOCATION | 160 E ERIE AVE | Philadelphia, PA 19134-1011 | 215-427-5497 |
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