Individual
CAROLYN MARGARET HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
741 CYPRESS ST, YEADON, PA 19050-3504
(484) 424-2957
Mailing address
741 CYPRESS ST, YEADON, PA 19050-3504
(484) 424-2957
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MSG005134
PA
225700000X
Massage Therapist
MSG005134
PA
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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