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Individual

DR. DEBRA ELAINE COGLIANESE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT, OCS, ATC

Contact information

Practice address
608 WAYFIELD RD, WYNNEWOOD, PA 19096-2444
(610) 649-3756
Mailing address
608 WAYFIELD RD, WYNNEWOOD, PA 19096-2444
(610) 649-3756

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
9721
MA
2251X0800X
Orthopedic Physical Therapist
Primary
PT018873
PA

Other

Enumeration date
06/14/2015
Last updated
06/14/2015
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