Individual
RENATA JULIA COLMANETTI SOARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 THE FAIRWAY, RYDAL, PA 19046-1435
(215) 885-6800
(215) 576-5862
Mailing address
7734 WAGNER WAY APT B, ELKINS PARK, PA 19027-1028
(570) 702-4805
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE011670
PA
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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