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1194072819
LEESA JANE MASTELLER
WILKES BARRE, PA
NPI
1194072819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT016684)
Enumeration Date
2012-08-13
Last Update Date
2012-08-13
Business Address
-- LEESA JANE MASTELLER PT
53 GRAVEL ST
WILKES BARRE, PA 18705-3738
Phone number: 570-371-5600
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Mailing Address
-- LEESA JANE MASTELLER PT
224 E 6TH ST
BLOOMSBURG, PA 17815-2340
Phone number: 570-389-1469
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