Individual
TAMMY SUE ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 HORSHAM RD, NORTH WALES, PA 19454-1320
(215) 371-3689
Mailing address
2 BREWSTER DR, IVYLAND, PA 18974-1786
(267) 640-3474
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1000589
PA
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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