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Individual

BRENDA DOOLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1331 E WYOMING AVE, SUITE 4120, PHILADELPHIA, PA 19124-3808
(215) 831-1170
(215) 744-7394
Mailing address
2 W 10TH ST, MARCUS HOOK, PA 19061-4513
(610) 859-8850
(610) 859-7876

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009983
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001697605-0008
PA
01
0247464000
IBC
PA
01
30068870
KEYSTONE MERCY
PA
01
306142
UNISON
01
50065703
CAPITAL BLUE CROSS
PA
01
68640
HIGHMARK PABS
PA
Enumeration date
07/17/2006
Last updated
01/31/2011
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