Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Jan 12, 2017
License(s)
PT021709 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 75 EVELYN DR | Millersburg, PA 17061-1258 | 717-692-4708 |
| LOCATION | 75 EVELYN DR | Millersburg, PA 17061-1258 | 717-692-4708 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.