Individual
ALFRED CORNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1194 NAAMANS CREEK RD, GARNET VALLEY, PA 19060-1615
(610) 558-7840
Mailing address
1101 FAUN RD, WILMINGTON, DE 19803-3314
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI002489
PA
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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