Organization
DEVON FITNESS CLUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KATHLEEN MARIE RAYSINGER R.D., L.D.N (REGISTERED DIETITIAN)
21529035612
Entity
Organization
Contact information
Practice address
1340 SWEDESFORD RD, BERWYN, PA 19312-1087
(215) 290-3561
Mailing address
1340 SWEDESFORD RD, BERWYN, PA 19312-1087
(215) 290-3561
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004310
PA
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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