Individual
MS. GLORY DIEDRA MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 HENRY AVE, PHILADELPHIA, PA 19144-5409
(215) 951-2800
Mailing address
200 BARBARA LN, FRANKLINVILLE, NJ 08322-3855
(856) 357-7856
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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