Individual
DENITA NEWSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7247 LINDBERGH BLVD, PHILADELPHIA, PA 19153-2705
(610) 764-0486
Mailing address
7247 LINDBERGH BLVD, PHILADELPHIA, PA 19153-2705
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007317L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001935322001
MA
PA
Enumeration date
04/16/2007
Last updated
06/27/2019
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