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1972827970
REGINA L FORMICA
LANSDALE, PA
NPI
1972827970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT-006061-L)
Enumeration Date
2010-03-19
Last Update Date
2010-03-19
Business Address
-- REGINA L FORMICA PT
624 E MAIN ST
LANSDALE, PA 19446-2964
Phone number: 215-538-1999
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Mailing Address
-- REGINA L FORMICA PT
361 S 11TH ST SUITE 2
QUAKERTOWN, PA 18951-1414
Phone number: 215-538-1999
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