| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1821451121 | COLLINS | SARA | LYNN | 1412-22 FAIRMOUNT AVENUE | PHILADELPHIA | PA | 19130 | |
| 1508377060 | DAVIS | AMANDA | SUE | 1412-22 FAIRMOUNT AVENUE | PHILADELPHIA | PA | 191302908 | |
| 1982091344 | RYAN | MEREDITH | 1412 FAIRMOUNT AVE | PHILADELPHIA | PA | 191302908 |