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Individual

CLAIRE LACON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1800 JOHN F KENNEDY BLVD STE 1800, PHILADELPHIA, PA 19103-7434
(215) 634-9713
(215) 634-9714
Mailing address
475 ALLENDALE RD STE 206, KING OF PRUSSIA, PA 19406-1495
(862) 339-4540

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT030001
PA

Other

Enumeration date
11/11/2021
Last updated
04/19/2022
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