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LANCASTER, PA
NPI1215693155
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: PA  TPTA000727)
Enumeration Date2021-11-15
Last Update Date2021-11-15
Business Address
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710 FAIRVIEW AVE
LANCASTER, PA 17603-5828
Phone number: 717-203-3699
Mailing Address
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710 FAIRVIEW AVE
LANCASTER, PA 17603-5828
Phone number:
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