Individual
TEISHA MARIE SOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 S 11TH ST, PHILADELPHIA, PA 19107-4223
(215) 578-1507
Mailing address
21 S 11TH ST, PHILADELPHIA, PA 19107-4223
(215) 578-1507
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
5213360
PA
Other
Enumeration date
02/18/2021
Last updated
03/22/2021
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