Individual
MRS. VIDAMAR SIMONITSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(865) 392-2865
Mailing address
19 E MARTHART AVE, HAVERTOWN, PA 19083-2410
(646) 894-4508
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE011248
PA
Other
Enumeration date
01/03/2022
Last updated
11/19/2025
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