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NPI Code Detail

MEDICARE: MISS FINLEY A LOUDERBACK P.T.A

MEDICARE: MISS FINLEY A LOUDERBACK P.T.A
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
1225200000XPhysical Therapy AssistantTE007848PA

General Provider Information

NPI Number : 1992988901
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS FINLEY A LOUDERBACK P.T.A
Provider Business Mailing Address
First Line : 308 DENIS LN
Second Line :
City : WALLINGFORD
State : PA
Zip : 19086-6158
Country : US
Telephone Number : 610-299-4144
Fax Number :
Provider Business Practice Location Address
First Line : 305 CHERRY ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19106-1803
Country : US
Telephone Number : 215-238-9848
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2007
Last Update Date : 12/12/2007

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Directions to “ MISS FINLEY A LOUDERBACK P.T.A” Practice Location

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