Individual
ELISE YUNGBLUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
414 PAOLI PIKE, MALVERN, PA 19355-3311
(484) 596-5400
Mailing address
114 FAIRWAY DR, TRAPPE, PA 19426-2154
(410) 310-9732
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT021768
PA
Other
Enumeration date
03/02/2014
Last updated
03/02/2014
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