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Organization
WEST PHILADELPHIA MEDICAL & REHABILITATION, P.C.
Active
Organization
WEST PHILADELPHIA MEDICAL & REHABILITATION, P.C.
Active
Other names
NORTH PHILADELPHIA MEDICAL & REHABITATION
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LYNN RICCA RN (ADMINISTRATOR)
(215) 947-5800
Entity
Organization
Contact information
Practice address
2600 PHILMONT AVE, SUITE 308, HUNTINGDON VALLEY, PA 19006-5306
(215) 947-5800
Mailing address
5942 HAVERFORD AVE, PHILADELPHIA, PA 19151-4333
(215) 474-9982
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC006957L
PA
Other
Enumeration date
05/23/2006
Last updated
08/22/2020
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