Individual
ELIZABETH DIFEBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(866) 745-2273
Mailing address
1915 S WARNOCK ST, PHILADELPHIA, PA 19148-2332
(484) 225-1685
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
024281
PA
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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