Individual
CECELIA FEDELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 HENRY AVE, PHILADELPHIA, PA 19144-5409
(215) 951-2726
Mailing address
4201 HENRY AVE, PHILADELPHIA, PA 19144-5409
(215) 951-2726
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005591
PA
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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