Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
May 9, 2019
License(s)
PT009965L (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 384 N FAIRFIELD RD | Devon, PA 19333-1416 | |
| LOCATION | 1220 CENTRE AVE | Reading, PA 19601-1458 | 484-987-2738 |
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