| Dd Therapy Sources Llc | |
|
2630 W Cheltenham Ave Fl 1 Philadelphia PA 19150-1311 | |
| (215) 341-1020 | |
| Not Available |
| Full Name | Dd Therapy Sources Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2630 W Cheltenham Ave Fl 1, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Danielle Christine Darden (MANAGING AGENT) |
| Authorized Official Contact | 2153411020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dd Therapy Sources Llc 87 Old Cedarbrook Rd Wyncote PA 19095-2045 Ph: (215) 341-1020 | Dd Therapy Sources Llc 2630 W Cheltenham Ave Fl 1 Philadelphia PA 19150-1311 Ph: (215) 341-1020 |
| NPI Number | 1639812415 |
|---|---|
| Provider Enumeration Date | 04/19/2022 |
| Last Update Date | 04/19/2022 |
| Certification Date | 04/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639812415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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