Individual
JASON BOCCELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 BELMONT AVE, PHILADELPHIA, PA 19131-1648
(215) 878-3600
Mailing address
240 GERALD DR, ASTON, PA 19014-1717
(610) 324-0075
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI004900
PA
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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