Individual
SAMANTHA O'TOOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2601 PENNSYLVANIA AVE, UNIT CU6, PHILADELPHIA, PA 19130-2314
(215) 564-4880
Mailing address
2601 PENNSYLVANIA AVE, UNIT CU6, PHILADELPHIA, PA 19130-2314
(215) 564-4880
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005579
PA
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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