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Individual

ANGELA DIFFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
50 N MALIN RD, BROOMALL, PA 19008-1429
(610) 356-8000
Mailing address
369 E VALLEY FORGE RD, KING OF PRUSSIA, PA 19406-2034
(484) 356-6885

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI001858
PA

Other

Enumeration date
05/18/2017
Last updated
05/18/2017
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