Individual
KRISTI TOLERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3110 GRANT AVE, PHILADELPHIA, PA 19114-2542
(215) 464-6600
Mailing address
839 N 24TH ST, APT 3, PHILADELPHIA, PA 19130-1913
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE010626
PA
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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