Individual
CARLEY MCQUAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
511 N BROAD ST, PHILADELPHIA, PA 19123-3230
(215) 923-6031
Mailing address
317 N BROAD ST APT 411, PHILADELPHIA, PA 19107-1016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT029571
PA
Other
Enumeration date
08/09/2021
Last updated
10/19/2021
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