Individual
KATHLEEN REALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 CHERRY ST, PHILADELPHIA, PA 19106-1803
(800) 974-6383
Mailing address
1611 WINDSOR CT, LANSDALE, PA 19446-4339
(215) 361-9864
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OC009683
PA
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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