Organization
LYMPHEDEMA CLINICS OF AMERICA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLINE E LOGAN (CHIEF OPERATING OFFICER)
(443) 907-8449
Entity
Organization
Contact information
Practice address
701 FOULK RD, SUITE 1B, WILMINGTON, DE 19803-3733
(302) 691-5167
(302) 691-5168
Mailing address
PO BOX 826366, PHILADELPHIA, PA 19182-6366
(302) 691-5167
(302) 691-5168
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2013605008
DE
Other
Enumeration date
09/04/2013
Last updated
10/10/2013
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