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1588170948
LAUREN V DI DOMENICO
MEDIA, PA
NPI
1588170948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT026506)
Enumeration Date
2017-12-21
Last Update Date
2018-04-13
Business Address
LAUREN V DI DOMENICO DPT
5201 PENNELL RD
MEDIA, PA 19063-6502
Phone number: 610-874-9710
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Mailing Address
LAUREN V DI DOMENICO DPT
3809 W CHESTER PIKE STE 150
NEWTOWN SQUARE, PA 19073-0259
Phone number: 610-359-5640
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