Rediclinic of Pa, LLC
NPI #1285036418 in Ardmore, Pennsylvania
Provider Information
- NPI Number
- 1285036418
- Entity Type
- Organization
- Organization Name
- Rediclinic of Pa, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Sep 18, 2014
- Last Updated
- Sep 18, 2014
Practice Location
- Address
- 169 W LANCASTER AVE
- City
- Ardmore
- State
- Pennsylvania
- ZIP Code
- 19003-1401
- Phone
- (713) 335-1754
Authorized Official
- Name
- DANIELLE BARRERA
- Title
- CHIEF OPERATING OFFICER
- Phone
- (713) 580-9489
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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