NPI 1053822643
Martina Mobley-Altice
Practice location
- Address
- 5650 Sprague St, Philadelphia, PA 19138-1744
- Phone
- (215) 951-5689
- Mailing address
- 402 W Walnut Ln APT 3, Philadelphia, PA 19144-3750
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1053822643
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Oct 2017
- Record last updated
- 23 Oct 2017
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.