Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Jul 7, 2023
License(s)
PT031324 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 6595B ROOSEVELT BLVD | Philadelphia, PA 19149-2918 | |
| LOCATION | 6595B ROOSEVELT BLVD | Philadelphia, PA 19149-2918 | 215-743-2332 |
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