Organization
REHABILITATION ASSOCIATES OF THE MAIN LINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH RICHARDS (MANAGING MEMBER)
(484) 596-7869
Entity
Organization
Contact information
Practice address
21 INDUSTRIAL BLVD STE 102, PAOLI, PA 19301-1610
(484) 596-6024
Mailing address
21 INDUSTRIAL BLVD STE 102, PAOLI, PA 19301-1610
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD054645L
PA
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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