Individual
COBY REBECCA HANISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2821 PARRISH ST APT E, PHILADELPHIA, PA 19130-1200
(541) 222-9543
Mailing address
2821 PARRISH ST APT E, PHILADELPHIA, PA 19130-1200
(541) 222-9543
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013281
PA
Other
Enumeration date
01/02/2017
Last updated
09/06/2017
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