Individual
MR. CHRISTOPHER JAMES MAMMOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1413 W. MOYAMENSING AVE., PHILADELPHIA, PA 19145
(215) 639-2555
Mailing address
1600 HIGHLAND AVE,, CINNAMINSON, NJ 08077
(856) 361-8775
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI002589
PA
Other
Enumeration date
03/15/2010
Last updated
10/17/2012
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