Individual
PARIS AGNEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 GREENE ST, PHILADELPHIA, PA 19119-3231
(215) 844-6400
Mailing address
82 PEACH ST, WESTVILLE, NJ 08093-2113
(856) 418-4883
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI004952
PA
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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