Individual
CANDICE MCNAMEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
433 BELGRADE ST, PHILADELPHIA, PA 19125-2622
(267) 761-2996
Mailing address
433 BELGRADE ST, PHILADELPHIA, PA 19125-2622
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT024101
PA
252Y00000X
Early Intervention Provider Agency
PT024101
PA
Other
Enumeration date
02/07/2016
Last updated
02/15/2016
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