Individual
RAVEN BRIANNA SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1 BALA PLZ, STE 134, BALA CYNWYD, PA 19004
(610) 668-4055
Mailing address
6733 E PLESANT PL 2ND FLOOR, PHILA, PA 19119
(484) 213-7510
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT019602
PA
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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