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Organization
NORTHEAST AQUA AND PHYSICAL THERAPY CENTER INC
Active
Organization
NORTHEAST AQUA AND PHYSICAL THERAPY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSLANA VOLOSHEN (PRESIDENT)
(215) 969-2101
Entity
Organization
Contact information
Practice address
9150 MARSHALL ST, SUITE 9, PHILADELPHIA, PA 19114-2217
(215) 969-2101
Mailing address
9150 MARSHALL ST, SUITE 9, PHILADELPHIA, PA 19114-2217
(215) 969-2101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/14/2006
Last updated
10/04/2007
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