Individual
MR. ADAM DAVID DECLERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
66 S COUNTY LINE RD, SOUDERTON, PA 18964-1252
(215) 721-7800
Mailing address
66 S COUNTY LINE RD, SOUDERTON, PA 18964-1252
(215) 721-7800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007600L
PA
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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