Individual
CAROLINE G SIMOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
215 CHURCH ST, 3RD FLOOR, PHILADELPHIA, PA 19106-4518
(215) 238-9848
(215) 238-9199
Mailing address
5723 TERRACE DRIVE, NEFFS, PA 18065
(484) 553-1213
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI001335
PA
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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