Individual
MICHELLE M CUNNINGHAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1400 VETERANS HIGHWAY, SUITE 103, LEVITTOWN, PA 19056
(215) 752-4553
(215) 752-0703
Mailing address
1400 VETERANS HIGHWAY, SUITE 103, LEVITTOWN, PA 19056
(215) 752-4553
(215) 752-0703
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT013712L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014777000
INDEPENDENCE BLUE CROSS
PA
01
—
0053616
AETNA
PA
Enumeration date
06/14/2006
Last updated
07/08/2007
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