Individual
MADELINE ISWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
583 SUGARTOWN RD, MALVERN, PA 19355-2800
(610) 644-1754
Mailing address
937 ELMWOOD AVE, WEST CHESTER, PA 19380-1412
(484) 885-0924
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT007535
PA
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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