Individual
EMMA MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4130 LAURISTON ST, PHILADELPHIA, PA 19128-3529
(908) 240-7446
Mailing address
4130 LAURISTON ST, PHILADELPHIA, PA 19128-3529
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT022889
PA
Other
Enumeration date
08/27/2013
Last updated
12/03/2014
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