Individual
MR. THEODORE DWIGHT HAMPTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMT
Contact information
Practice address
29 CHESTER PIKE, COLLINGDALE, PA 19023-2035
(484) 953-5109
Mailing address
29 CHESTER PIKE, COLLINGDALE, PA 19023-2035
(484) 953-5109
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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