Individual
MRS. ANN MARIE KOLONGOWSKI-DIADDEZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
215 SUGARTOWN RD, WAYNE, PA 19087-3137
(484) 582-0660
Mailing address
613 CHINOOK DR, DOWNINGTOWN, PA 19335-4806
(610) 458-8687
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PT010379L
PA
2251X0800X
Orthopedic Physical Therapist
Primary
PT010379L
PA
Other
Enumeration date
01/11/2010
Last updated
08/27/2013
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