Individual
MR. PETER LAWRENCE FATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED, ATC
Contact information
Practice address
414 COMMERCE DR, FORT WASHINGTON, PA 19034-2618
(215) 641-0700
Mailing address
3401 N BROAD ST, TEMPLE ORTHOPAEDICS, 6TH FLOOR OUTPATIENT BUILDING, PHILADELPHIA, PA 19140-5103
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003627
PA
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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