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1659712461
TISHA KURUVILLA
KENNETT SQUARE, PA
NPI
1659712461
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: PA SL011127)
Enumeration Date
2013-07-09
Last Update Date
2013-12-13
Business Address
-- TISHA KURUVILLA MS, CCC-SLP
101 EAST STATE STREET GENESIS REHAB SERVICES
KENNETT SQUARE, PA 19348
Phone number: 856-889-6865
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Mailing Address
-- TISHA KURUVILLA MS, CCC-SLP
1412 LANSDOWNE AVE
DARBY, PA 19023
Phone number:
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