Individual
DEBBIE GOLDBERG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2 BALA PLAZA, SUITE IL-47, BALA CYNWYD, PA 19004
(610) 668-1048
(610) 668-9539
Mailing address
2 BALA PLAZA, SUITE IL-47, BALA CYNWYD, PA 19004
(610) 668-1048
(610) 668-9539
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003183L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019224690001
—
PA
Enumeration date
04/17/2006
Last updated
07/08/2007
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