Douglass Breath of Life
NPI #1831479047 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1831479047
- Entity Type
- Organization
- Organization Name
- Douglass Breath of Life
- Primary Specialty
- Respiratory Therapist, Certified
- Enumeration Date
- Aug 18, 2011
- Last Updated
- Aug 18, 2011
Practice Location
- Address
- 3901 CONSHOHOCKEN AVE
- Address 2
- #8308
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19131-5430
- Phone
- (215) 877-1114
Authorized Official
- Name
- MR. LYDELL DOUGLASS
- Title
- CERTIFIED RESPIRATORY THERAPIST
- Phone
- (215) 877-1114
Specialties & Taxonomy Codes
| Specialty |
|---|
| Respiratory Therapist, Certified |
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