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Individual

MS. EILEEN SENOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
3975 CONSHOHOCKEN AVE, PHILADELPHIA, PA 19131-5426
(215) 879-1000
(215) 879-3912
Mailing address
118 EVERETT AVE, WILLOW GROVE, PA 19090-3326
(215) 945-4073

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT003802L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0019225490002
PA
Enumeration date
04/09/2007
Last updated
07/08/2007
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