LISA M SPROUSE

ALTOONA, PA
NPI1275937096
Former NameLISA MARIE GORMLEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: PA  PT023943)
Enumeration Date2014-10-22
Last Update Date2014-10-22
Business Address
LISA M SPROUSE
3200 FAIRWAY DR
ALTOONA, PA 16602-4458
Phone number: 814-941-7708
Mailing Address
LISA M SPROUSE
3200 FAIRWAY DR
ALTOONA, PA 16602-4458
Phone number: 814-941-7708
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