MRS. Mary Beth Polvoorde-Divis, MS, MPT, ATC

NPI #1659636827 in Swarthmore, Pennsylvania

Provider Information

NPI Number: 1659636827
Entity Type: Individual
Name: MRS. Mary Beth Polvoorde-Divis, MS, MPT, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MS, MPT, ATC
Enumeration Date: Jul 12, 2012
Last Updated: Jul 12, 2012

Practice Location

Address: 719 S CHESTER RD
City: Swarthmore
State: Pennsylvania
ZIP Code: 19081-2710
Phone: (610) 543-4605

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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