Individual
JAMES MCNALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
606 DANENBERGER DR, SOUTHAMPTON, PA 18966-4018
(215) 285-7933
Mailing address
606 DANENBERGER DR, SOUTHAMPTON, PA 18966-4018
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE011627
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225200000X
—
PA
Enumeration date
01/31/2018
Last updated
01/31/2018
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