Individual
ANNAMARIA GERALDINE CONCANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
356 HIGHLAND AVE, BERWYN, PA 19312-1627
(484) 437-2294
Mailing address
356 HIGHLAND AVE, BERWYN, PA 19312-1627
(484) 437-2294
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005912-L
PA
Other
Enumeration date
10/27/2018
Last updated
10/27/2018
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