Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Sep 12, 2007
License(s)
2006037638 (MO), 35307 (CA), PT019913 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1920 TROLLEY RD | York, PA 17408 | 717-767-4036 |
| LOCATION | 1920 TROLLEY RD | York, PA 17408-1018 | 717-767-4036 |
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