Individual
MS. NYAWOH WINNIFRED JENGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2100 W GIRARD AVE, PHILADELPHIA, PA 19130-1400
(215) 685-0800
Mailing address
2127 S 58TH ST, PHILADELPHIA, PA 19143-5907
(215) 727-3578
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE007796
PA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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