Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Jan 30, 2008
License(s)
PT015843 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 242 E DURARD ST | Philadelphia, PA 19119-1903 | 215-842-2123 |
| LOCATION | 2250 HICKORY RD SUITE 240 | Plymouth Meeting, PA 19462-1047 | 610-834-1122 |
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