Individual
ALISON LOUISE IACOBUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
215 SUGARTOWN RD, WAYNE, PA 19087-3137
(484) 582-0660
(484) 582-0666
Mailing address
215 SUGARTOWN RD, WAYNE, PA 19087-3137
(484) 582-0660
(484) 582-0666
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT022965
PA
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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