Individual
JOHN KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
401 BROAD ST, JOHNSTOWN, PA 15906-2745
(814) 535-6000
Mailing address
401 BROAD ST, JOHNSTOWN, PA 15906-2745
(814) 535-6000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI002759
PA
363AM0700X
Medical Physician Assistant
TEI002759
PA
Other
Enumeration date
07/09/2021
Last updated
07/21/2021
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