MEDICARE: AMBER WELSH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	TE011142	PA

General Provider Information

NPI Number	:	1396285763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER WELSH

Provider Business Mailing Address
First Line	:	6741 WYNCOTE AVE
Second Line	:	2ND FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19138-3135
Country	:	US
Telephone Number	:	267-581-2777
Fax Number	:

Provider Business Practice Location Address
First Line	:	6741 WYNCOTE AVE
Second Line	:	2ND FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19138-3135
Country	:	US
Telephone Number	:	267-581-2777
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2017
Last Update Date	:	03/03/2017

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Directions to “ AMBER WELSH ” Practice Location

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