Organization
KENCREST SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM NOLAN (EXECUTIVE DIRECTOR)
(610) 825-9360
Entity
Organization
Contact information
Practice address
502 W GERMANTOWN PIKE, SUITE 200, PLYMOUTH MEETING, PA 19462-1348
(610) 825-9360
Mailing address
502 W GERMANTOWN PIKE, SUITE 200, PLYMOUTH MEETING, PA 19462-1348
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
133N00000X
Nutritionist
Primary
—
—
225100000X
Physical Therapist
—
PA
225X00000X
Occupational Therapist
—
PA
235Z00000X
Speech-Language Pathologist
—
PA
Other
Enumeration date
02/22/2007
Last updated
01/03/2008
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