Organization
INTEGRATIVE REHABILITATION PLLC
Active
Other names
Philadelphia Integrative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIA KATHERINE TETLOW MD (CEO/OWNER)
(888) 702-7974
Entity
Organization
Contact information
Practice address
200 EAGLE RD STE 208, WAYNE, PA 19087-3115
(888) 702-7974
(888) 702-7974
Mailing address
200 EAGLE RD STE 208, WAYNE, PA 19087-3115
(888) 702-7974
(888) 702-7974
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/26/2013
Last updated
03/26/2020
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