Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Aug 2, 2018
License(s)
PT026913 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 625 WALNUT ST | Mckeesport, PA 15132-2806 | |
| LOCATION | 625 WALNUT ST | Mckeesport, PA 15132-2806 | 412-673-5005 |
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