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1235348236
LISA COTTERALL
PHILADELPHIA, PA
NPI
1235348236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT011088L)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
-- LISA COTTERALL PT,DPT,CWS
501 S 54TH ST
PHILADELPHIA, PA 19143-1900
Phone number: 215-748-9160
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Mailing Address
-- LISA COTTERALL PT,DPT,CWS
717 LATONA ST
PHILADELPHIA, PA 19147-5115
Phone number: 215-467-2414
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