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Individual

MS. LILLIAN FELICIANO

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
7125 FRANKFORD AVE, PHILADELPHIA, PA 19135-1008
(215) 338-8900
(215) 338-8923
Mailing address
1922 N 5TH ST, PHILADELPHIA, PA 19122-2123
(215) 235-0582

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
J2-0000483
DE
225200000X
Physical Therapy Assistant
Primary
TE005683L
PA

Other

Enumeration date
05/31/2006
Last updated
07/08/2007
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