NPI 1831479047

Douglass Breath of Life

Organisation Certified Respiratory Therapist Philadelphia, PA

Practice location

Address: 3901 Conshohocken Ave #8308, Philadelphia, PA 19131-5430
Phone: (215) 877-1114
Fax: (215) 877-1114
Mailing address: 3901 Conshohocken Avenue #8308, Philadelphia, PA 19131

Authorised official

Name: Lydell Douglass
Title: Certified Respiratory Therapist
Phone: (215) 877-1114

Registered specialties

Certified Respiratory Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 227800000X Licence YM006253L (PA)

Other Respiratory Therapist, Certified providers in Pennsylvania →

Registry record

NPI: 1831479047
Entity type: Organization
NPI issued: 18 Aug 2011
Record last updated: 18 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.