Individual
AVATAR BARLIS SEVERINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
600 RED LION RD APT V9, PHILADELPHIA, PA 19115-1226
(407) 634-9719
Mailing address
600 RED LION RD APT V9, PHILADELPHIA, PA 19115-1226
(407) 634-9719
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1247159
TX
225100000X
Physical Therapist
Primary
PT026426
PA
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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