Individual
MRS. ANDREA GREENBURG CHESNOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3975 CONSHOHOCKEN AVE, PHILADELPHIA, PA 19131-5426
(215) 879-1000
(215) 879-3912
Mailing address
26 STARDUST DR, HOLLAND, PA 18966-2748
(215) 968-4669
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT000951E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019225020002
—
PA
Enumeration date
04/09/2007
Last updated
07/08/2007
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