Individual
DR. MARYJANE FEDORCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT. PHD, CHT, ATC
Contact information
Practice address
245 N 15TH ST, MAIL STOP 502, PHILADELPHIA, PA 19102-1101
(215) 762-4680
Mailing address
245 N 15TH ST, MAIL STOP 502, PHILADELPHIA, PA 19102-1101
(215) 762-4680
Taxonomy
Speciality
Code
Description
License number
State
2251H1200X
Hand Physical Therapist
40QA00546800
NJ
2251H1200X
Hand Physical Therapist
Primary
PT006083L
PA
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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