Individual
GRACE BOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 W WISSAHICKON AVE, FLOURTOWN, PA 19031-1898
(215) 836-4179
Mailing address
129 LORI LN, BROOMALL, PA 19008-2639
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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