Individual
JOHANNA MAE DWINELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 MONUMENT RD, PHILADELPHIA, PA 19131-1625
(215) 581-3933
Mailing address
4200 MONUMENT RD, PHILADELPHIA, PA 19131-1625
(215) 581-3933
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
12191
—
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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