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1003571068
NICOLE LORD WALSH
PHILADELPHIA, PA
NPI
1003571068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: PA TE011620)
Enumeration Date
2021-11-04
Last Update Date
2021-11-04
Business Address
NICOLE LORD WALSH PTA
1800 LOMBARD ST
PHILADELPHIA, PA 19146-1414
Phone number: 215-893-6324
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Mailing Address
NICOLE LORD WALSH PTA
404 GALWAY CT
MIDDLETOWN, DE 19709-8796
Phone number: 484-557-9550
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