Organization
THE FALL PREVENTION GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEANNA L. GRAY-MICELI PHD, GNP-BC (CEO/ADMINISTRATOR)
(609) 790-2327
Entity
Organization
Contact information
Practice address
4401 HAVERFORD AVE # 19104, PHILADELPHIA, PA 19104-1332
(215) 349-8800
Mailing address
230 N MAPLE AVE STE B1, # 284, MARLTON, NJ 08053-9412
(609) 790-2327
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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