Individual
DANISE HIGHTOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1575 N 52ND ST, PHILADELPHIA, PA 19131-4736
(267) 290-0070
Mailing address
175 BLACKBURN AVE, LANSDOWNE, PA 19050-1418
(267) 290-0070
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
3459492
PA
2255A2300X
Athletic Trainer
3375058
PA
Other
Enumeration date
02/15/2018
Last updated
05/10/2018
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