Individual
MIDORI WAKABAYASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
925 CHESTNUT ST, SIXTH FLOOR, PHILADELPHIA, PA 19107-4216
(215) 955-6784
(215) 923-4532
Mailing address
925 CHESTNUT ST, SIXTH FLOOR, PHILADELPHIA, PA 19107-4216
(215) 955-6784
(215) 923-4532
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT005963
PA
Other
Enumeration date
08/28/2007
Last updated
05/05/2014
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