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1437349131
PROACTIVE PHYSICAL MEDICINE, LLC
PHILADELPHIA, PA
NPI
1437349131
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Entity Type
Organization
Authorized Contact
AILEEN QUELL
Billing Manager
215-321-3538
Organization Subpart ?
No
Primary Taxonomy
261QM2500X Clinic/Center, Medical Specialty
Enumeration Date
2007-07-29
Last Update Date
2009-09-01
Business Address
PROACTIVE PHYSICAL MEDICINE, LLC
1331 E WYOMING AVE SUITE 1100
PHILADELPHIA, PA 19124-3808
Phone number: 215-744-4030
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Mailing Address
PROACTIVE PHYSICAL MEDICINE, LLC
1331 E WYOMING AVE SUITE 1100
PHILADELPHIA, PA 19124-3808
Phone number: 215-744-4030
Copy
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