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Contact Information

CHRISTOPHER J MAMMOLA, PTA
1413 W. MOYAMENSING AVE.
PHILADELPHIA, PA19145
 Phone: 215-639-2555
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for CHRISTOPHER J MAMMOLA · (Male)

NPI # 1417271818
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 03/15/2010
Last updated 10/17/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # TEI002589
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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