Individual
MRS. KELLY DUSZAK MCARDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CERT.MDT
Contact information
Practice address
501 SOUTH 54TH STREET, SUITE 127, PHILADELPHIA, PA 19143
(215) 748-9160
(215) 748-9724
Mailing address
508 S 7TH ST, APT 3, PHILADELPHIA, PA 19147-1411
(215) 748-9160
(215) 748-9724
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT011690
PA
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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