Individual
CAROLYN TICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
99 BARCLAY ST, NEWTOWN, PA 18940-1593
(215) 860-4000
Mailing address
1167 GLENN ST, PHILADELPHIA, PA 19115-2016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT027621
PA
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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