OrganizationActive
Aquahab, Lp
NPI 1679718191 · Nutrition Education Nutritionist · Phila, PA
Provider details
- NPI number
- 1679718191
- Entity type
- Organization
- Primary specialty
- Nutrition Education NutritionistDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Deborah Siedlecki, Billing Supervisor(215) 677-0400
- License
- DN003739 (PA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Practice location
3600 Grant Ave
Phila, PA 19114-2630
Phone: (215) 677-0400
Fax: (215) 671-1837
Approximate (ZIP-level) locationGet directions
Mailing address
3600 Grant Ave
Phila, PA 19114-2630
Other names (DBA / former)
- Doing business as
- Aquahab Physical Therapy
Registry dates
- Enumerated
- 2008-12-12
- Last updated
- 2008-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.