Individual
MR. HECTOR FRANSIS CORNILLOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
184 BETHLEHEM PIKE, PHILA, PA 19118-2815
(610) 416-4434
Mailing address
184 BETHLEHEM PIKE, PHILA, PA 19118-2815
(610) 416-4434
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE008393
PA
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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