Organization
REHABILITATION ASSOCIATES OF THE MAIN LINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH RICHARDS (MANAGING MEMBER)
(484) 596-7869
Entity
Organization
Contact information
Practice address
600 HAVERFORD RD STE 100, HAVERFORD, PA 19041-1139
(484) 596-7869
Mailing address
945 E HAVERFORD RD, BRYN MAWR, PA 19010-3814
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
OS010278L
PA
Other
Enumeration date
04/03/2017
Last updated
06/23/2017
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