Individual
DEBORAH RAE MCKIM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1011 W PENN AVE, ROBESONIA, PA 19551-9550
(610) 589-2263
(610) 589-2232
Mailing address
18 GINNA B DR, ROBESONIA, PA 19551-9668
(610) 693-9631
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-012229-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01907598
—
PA
Enumeration date
07/26/2005
Last updated
07/08/2007
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