Individual
CHRISTINE M CARCANAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
378 GRANGE RD, WAYNE, PA 19087-2918
(610) 225-2451
(610) 964-6166
Mailing address
378 GRANGE RD, WAYNE, PA 19087-2918
(610) 225-2451
(610) 964-6166
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015411
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT015411
LICENSE
PA
Enumeration date
07/24/2018
Last updated
07/24/2018
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