Individual
RACHEL MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1343 WEST BALTIMORE PIKE, MEDIA, PA 19063
(610) 361-8221
Mailing address
125 BROOMALL STREET, APT C, FOLSOM, PA 19033
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE009442
PA
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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