Individual
MAUREEN NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
432 TANNER RD, HATBORO, PA 19040-2333
(215) 290-8674
Mailing address
432 TANNER RD, HATBORO, PA 19040-2333
(215) 290-8674
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE10000715
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1234
—
PA
Enumeration date
04/27/2016
Last updated
04/27/2016
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