Individual
MS. MAYERLING THANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5301 CEDAR AVE, PHILADELPHIA, PA 19143-1917
(215) 748-9160
Mailing address
23 E 15TH ST, CHESTER, PA 19013-3908
(610) 876-5720
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT018379
PA
Other
Enumeration date
09/11/2007
Last updated
11/26/2008
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