Individual
BETHANY NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1930 S BROAD ST STE J, PHILADELPHIA, PA 19145-2328
(267) 996-3900
Mailing address
2107 S HICKS ST, PHILADELPHIA, PA 19145-3912
(367) 971-8531
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT020031
PA
Other
Enumeration date
04/02/2024
Last updated
04/09/2024
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